Sudha A Russell
MD | Pediatrics | Female
Sudha A Russell, MD is a Santa Maria, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Sudha A Russell is
1835 N Broadway, Santa Maria, California - 93454-1404. She can be contacted on phone at
805-345-3701 and fax number 805-345-3745.
Sudha A Russell is a sole proprietor of her business.
NPI number (Unique professional ID) for Sudha A Russell is
1528037892 which was assigned by NPPES on 17 Mar, 2006 and it was last updated on 12 Aug, 2021.
Sudha A Russell license number is
G54900 for Pediatrics (208000000X) in California.
Sudha A Russell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sudha A Russell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sudha A Russell |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Sudha A Russell 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 : | 1835 N Broadway
Santa Maria, CA, 93454-1404
United States |
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| Phone Number : | 805-345-3701 |
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| Fax Number : | 805-345-3745 |
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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 : | 1528037892 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Mar, 2006 |
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| Last Updated On : | 12 Aug, 2021 |
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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 Sudha A Russell are as mentioned. Primary taxonomy code for Sudha A Russell, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PP0204X | Emergency Medicine Pediatric Emergency Medicine | No | G54900 | CA |
| 208000000X | Pediatrics | Yes | G54900 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Sudha A Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10100 | Other | FL | BCBS PROVIDER # |
| 057297799 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
8787 HALL RD,
LAMONT, CA, 93241-1953
United States | LAMONT, CA | 661-845-3731 |
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 : | Po Box 1559
Bakersfield, CA, 93302-1559
United States |
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| Phone Number : | 661-635-3050 |
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| Fax Number : | 661-326-1347 |
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Business Location:
Patients can refer following map for directions to
Sudha A Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.