Dabral, Mudit

Dabral, Mudit is an sole proprietor health care provider with primary practice located at 1505 Shepard Dr Suite 105, Santa Maria CA 93454-7020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dabral, Mudit can be contacted via phone (805) 928-9770.

Contact Information

Primary practice address
1505 Shepard Dr Suite 105 Santa Maria CA 93454-7020
Phone: (805) 928-9770
Fax: (805) 928-6350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A40705 California

Profile Details

NPI number 1477623585
LBN Legal business name Dabral, Mudit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Sep 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477623585 NPPES
California Other 00A407050 BLUE SHIELD
California MEDICAID 00A407050 BLUE SHIELD
California Other 770154235 93454 A002 BLUE SHIELD
California Other 0480598 BLUE SHIELD
California Other 1087 BLUE SHIELD

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