MEDICARE: DR. KUMAR RAMALINGAM BDS

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
1	1223G0001X	General Practice Dentistry	032982	CA

General Provider Information

NPI Number	:	1053432666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KUMAR RAMALINGAM BDS

Provider Business Mailing Address
First Line	:	6966 65TH ST
Second Line	:	#B
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2355
Country	:	US
Telephone Number	:	916-427-2772
Fax Number	:	916-427-3843

Provider Business Practice Location Address
First Line	:	6966 65TH ST
Second Line	:	#B
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2355
Country	:	US
Telephone Number	:	916-427-2772
Fax Number	:	916-427-3843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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