Ronald S Kundargi Md Inc. | |
12780 Hesperia Rd Victorville CA 92395-5806 | |
(760) 946-5177 | |
(760) 946-5133 |
Full Name | Ronald S Kundargi Md Inc. |
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Speciality | Internal Medicine - Infectious Disease |
Location | 12780 Hesperia Rd, Victorville, California |
Authorized Official Name and Position | Ronald S Kundargi (PRESIDENT) |
Authorized Official Contact | 7609465177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ronald S Kundargi Md Inc. 17868 Hwy 18 #424 Apple Valley CA 92307 Ph: (760) 946-5177 | Ronald S Kundargi Md Inc. 12780 Hesperia Rd Victorville CA 92395-5806 Ph: (760) 946-5177 |
NPI Number | 1336335793 |
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Provider Enumeration Date | 09/19/2007 |
Last Update Date | 02/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336335793 | NPI | - | NPPES |
00A257430 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | A25743 (California) | Primary |
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