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Sanjay Kudtarkar
Specialist in San Bernardino, California
NPI 1477634632

Sanjay Kudtarkar is a Specialist based in San Bernardino, CA. Sanjay Kudtarkar practices in San Bernardino, CA. The NPI Number for Sanjay Kudtarkar is 1477634632 and holds a License No. A64957 (California).

The current practice location address for Sanjay Kudtarkar is 1998 N Arrowhead Ave, San Bernardino, CA and can be reached out via phone at 909-882-0988 and via fax at 909-886-1301.

Location: 1998 N Arrowhead Ave, San Bernardino, CA, 92405-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477634632
Provider Name
Sanjay Kudtarkar
Credential
Provider Entity Type
Individual
Gender
Male
Address
1998 N Arrowhead Ave, San Bernardino, CA, 92405-4116
Phone Number
909-882-0988
Fax Number
909-886-1301
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A649570 05 CA
institution
Provider Business Practice Location Address Details
Address
1998 N Arrowhead Ave
City
San Bernardino
State
California
Zip
92405-4116
Phone Number
909-882-0988
Fax Number
909-886-1301
person
Provider Business Mailing Address Details
Address
1998 N Arrowhead Ave
City
San Bernardino
State
California
Zip
92405-4116
Phone Number
909-882-0988
Fax Number
909-886-1301
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A64957 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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