Dr. Kiran Mudambi
MD | Pediatric Gastroenterology | Male
Dr. Kiran Mudambi, MD is a Sacramento, California based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Kiran Mudambi is
2516 Stockton Blvd, Sacramento, California - 95817-2208. He can be contacted on phone at
650-267-0562.
Dr. Kiran Mudambi is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kiran Mudambi is
1942649561 which was assigned by NPPES on 17 Jun, 2013 and it was last updated on 05 Sep, 2019.
Dr. Kiran Mudambi license number is
MD60913136 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Washington.
Dr. Kiran Mudambi specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Kiran Mudambi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Dr. Kiran Mudambi |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Kiran Mudambi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2516 Stockton Blvd
Sacramento, CA, 95817-2208
United States |
|---|
| Phone Number : | 650-267-0562 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942649561 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 Jun, 2013 |
|---|
| Last Updated On : | 05 Sep, 2019 |
|---|
Medicare Participation:
Dr. Kiran Mudambi participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1254662687 |
|---|
| Medicare Enrollment ID : | I20191015003331 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Other |
|---|
| Graduation Year : | 2013 |
|---|
| Accepts Medicare? | Yes. Dr. Kiran Mudambi accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Kiran Mudambi is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kiran Mudambi is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Multicare Health System | 7719899897 | 1562 | 311 S L St
Tacoma, WA - 984053720 | Yes |
| Multicare Health System | 7719899897 | 1562 | 200 Lilly Rd Ne
Suite C
Olympia, WA - 985065080
Ph: 3609330368 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kiran Mudambi are as mentioned. Primary taxonomy code for Dr. Kiran Mudambi, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD60913136 | WA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1586 Response Road, Apt 2087
Sacramento, CA, 95815
United States |
|---|
| Phone Number : | 650-267-0562 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Kiran Mudambi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.