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DR. RAJAGOPAL KEERTHY SUNDER M.D.
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1972572824
Individual Registrant:DR. RAJAGOPAL KEERTHY SUNDER M.D.
Gender: M
Not Sole Proprietor
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: --
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: --
Tel: 510-685-2022 Fax: --
Registration Information:
NPI: 1972572824
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | CA | A94223 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 101426267 | PA | 05 |
