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NPI Code Detail

MEDICARE: DR. SANDRA KAMIAK M.D.

MEDICARE: DR. SANDRA KAMIAK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG-37877CA
22084P0800XPsychiatry PhysicianG-37877CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G-37877OTHERCACA. PHYSICIAN LICENSE

General Provider Information

NPI Number : 1033267240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA KAMIAK M.D.
Provider Business Mailing Address
First Line : 14583 BIG BASIN WAY
Second Line : UNIT 3B
City : SARATOGA
State : CA
Zip : 95070-6072
Country : US
Telephone Number : 408-741-1332
Fax Number : 408-741-5791
Provider Business Practice Location Address
First Line : 14583 BIG BASIN WAY
Second Line : UNIT 3B
City : SARATOGA
State : CA
Zip : 95070-6072
Country : US
Telephone Number : 408-741-1332
Fax Number : 408-741-5791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 01/13/2014

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