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DR. RAJAGOPAL KEERTHY SUNDER M.D.

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1972572824

Individual Registrant:
DR. RAJAGOPAL KEERTHY SUNDER M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
17853 SANTIAGO BLVD STE 107  VILLA PARK, CA 92861-4199 US
Tel: 510-685-2022  Fax: --

Contact information for business:
3060 EL CERRITO PLZ SUITE 266 EL CERRITO, CA 94530-4011 US
Tel: 510-685-2022  Fax: --

Registration Information:
NPI: 1972572824
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
CAA94223

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
101426267PA05




HEALTH CARE JOBS CA - Page 1



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