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General NPI Number Information
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NPI Number | 1649400839
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Entity Type | Individual
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Provider Name | GANESH KAMBHAMPATI M.D
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Gender | Male
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 520 COTTONWOOD ST STE 2
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City | WOODLAND
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State | CA
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Zip | 95695-3603
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Country | US
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Telephone | 530-668-3600
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Fax | 530-668-3601
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Provider Business Mailing Address
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Address Line | 1111 EXPOSITION BLVD STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95815-4324
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Country | US
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Telephone | 916-929-8564
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Fax | 916-929-4529
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A117811
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A117811
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME104829
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | TRN13965
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License Number State | FL
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