Harold S. Budhram, Md, Inc. | |
5145 Shasta Dam Blvd Shasta Lake CA 96019-9403 | |
(530) 275-5421 | |
(530) 275-5156 |
Full Name | Harold S. Budhram, Md, Inc. |
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Speciality | Family Medicine |
Location | 5145 Shasta Dam Blvd, Shasta Lake, California |
Authorized Official Name and Position | Harold Shamnarine Budhram (PRESIDENT) |
Authorized Official Contact | 5302755421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Harold S. Budhram, Md, Inc. 5145 Shasta Dam Blvd Shasta Lake CA 96019-9403 Ph: (530) 275-5421 | Harold S. Budhram, Md, Inc. 5145 Shasta Dam Blvd Shasta Lake CA 96019-9403 Ph: (530) 275-5421 |
NPI Number | 1346572468 |
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Provider Enumeration Date | 02/01/2010 |
Last Update Date | 05/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346572468 | NPI | - | NPPES |
RHM53954F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G319730 (California) | Primary |
Central Valley Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4174 Ashby Ct, Shasta Lake, CA 96019 Phone: 530-224-2700 Fax: 530-224-2738 | |
Ronald G Chambers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4174 Ashby Ct, Shasta Lake, CA 96019 Phone: 530-275-3094 Fax: 530-275-0803 |