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NPI Code Detail

MEDICARE: SABAREESH K NATARAJAN MD PROFESSIONAL CORPORATION

MEDICARE: SABAREESH K NATARAJAN MD PROFESSIONAL CORPORATION
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
1207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1952174765
Entity Type Code : Organization
Provider Name (Legal Business Name) : SABAREESH K NATARAJAN MD PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 1640 LUDINGTON LN
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-3805
Country : US
Telephone Number : 855-278-6876
Fax Number : 866-278-6876
Provider Business Practice Location Address
First Line : 5555 GROSSMONT CENTER DR
Second Line :
City : LA MESA
State : CA
Zip : 91942-3019
Country : US
Telephone Number : 619-984-6969
Fax Number : 866-278-6876
Authorized Official
Title or Position : OWNER
Name : DR. SABAREESH KUMAR NATARAJAN
Credential : MD
Telephone Number : 716-208-3531
Provider Enumeration Date : 11/02/2023
Last Update Date : 03/17/2026

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