| Sangamitra Kothapa M D Inc | |
|
1226 N Broadway Santa Ana CA 92701-3412 | |
| (714) 825-0940 | |
| (714) 825-0944 |
| Full Name | Sangamitra Kothapa M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1226 N Broadway, Santa Ana, California |
| Authorized Official Name and Position | Sangamitra Kothapa (OWNER) |
| Authorized Official Contact | 7148250940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangamitra Kothapa M D Inc 1226 N Broadway Santa Ana CA 92701-3412 Ph: (714) 825-0940 | Sangamitra Kothapa M D Inc 1226 N Broadway Santa Ana CA 92701-3412 Ph: (714) 825-0940 |
| NPI Number | 1225356215 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225356215 | NPI | - | NPPES |
| 1407841620 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A43502 (California) | Primary |
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