Individual provider · Type 1 NPI

Sanjay Kudtarkar

Specialist · San Bernardino, CA

NPI number 1477634632 Active

Practice location

1998 N Arrowhead Ave
San Bernardino, CA 92405-4116

Call (909) 882-0988 Map

Fax (909) 886-1301

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA64957 (CA)

Specialist: 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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About NPI 1477634632

Sanjay Kudtarkar's National Provider Identifier is 1477634632, issued on Oct 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Bernardino, CA. The record was last updated on Mar 7, 2023.