Individual provider · Type 1 NPI

Kusum Lata, MD

Cardiovascular Disease Physician · Stockton, CA

NPI number 1477884161 Active

Practice location

1801 E March Ln, #A-170
Stockton, CA 95210-6629

Call (209) 951-9885 Map

Mailing address

600 Coffee Rd
Modesto, CA 95355-4201

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA 110487 (CA)
Cardiovascular Disease Physician Primary 207RC0000XA110487 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1477884161

Kusum Lata, MD's National Provider Identifier is 1477884161, issued on Jan 20, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Stockton, CA. The record was last updated on Sep 1, 2016.