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NPI Code Detail

MEDICARE: DR. SUMANT NAGARKAR MD

MEDICARE: DR. SUMANT NAGARKAR 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
1207Q00000XFamily Medicine PhysicianG080038CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316938871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMANT NAGARKAR MD
Provider Business Mailing Address
First Line : 5475 E LA PALMA AVE
Second Line : SUITE 201
City : ANAHEIM
State : CA
Zip : 92807-2075
Country : US
Telephone Number : 714-279-6368
Fax Number : 714-279-5811
Provider Business Practice Location Address
First Line : 29472 AVENIDA DE LAS BANDERA
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2651
Country : US
Telephone Number : 949-459-9968
Fax Number : 949-766-2565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 11/29/2021

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