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1134121049

NPI Code Detail

MEDICARE: DR. DHEERAJ KAMRA MD

MEDICARE: DR. DHEERAJ KAMRA MD

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	207R00000X	Internal Medicine Physician	43437-020	WI
2	207R00000X	Internal Medicine Physician	A89808	CA

General Provider Information

NPI Number	:	1134121049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DHEERAJ KAMRA MD

Provider Business Mailing Address
First Line	:	6608 MERCY CT
Second Line	:	SUITE C
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3170
Country	:	US
Telephone Number	:	916-966-8500
Fax Number	:	916-966-8555

Provider Business Practice Location Address
First Line	:	6608 MERCY CT STE C
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3171
Country	:	US
Telephone Number	:	916-966-8500
Fax Number	:	916-966-8555

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/06/2018

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Directions to “ DR. DHEERAJ KAMRA MD” Practice Location

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