MEDICARE: DR. KALI S ESWARAN 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
1	207R00000X	Internal Medicine Physician	A40842	CA

General Provider Information

NPI Number	:	1710950977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KALI S ESWARAN M.D.

Provider Business Mailing Address
First Line	:	1995 ZINFANDEL DR
Second Line	:	201
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-2862
Country	:	US
Telephone Number	:	916-852-6001
Fax Number	:	916-852-6007

Provider Business Practice Location Address
First Line	:	1995 ZINFANDEL DR
Second Line	:	201
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-2862
Country	:	US
Telephone Number	:	916-852-6001
Fax Number	:	916-852-6007

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	01/29/2013

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