Gogna, Mudita
Gogna, Mudita is an individual health care provider with primary practice located at 1528 Eureka Rd Ste 102 , Roseville CA 95661-3047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Gogna, Mudita can be contacted via phone (916) 736-6644.Contact Information
Primary practice address
1528 Eureka Rd Ste 102
Roseville CA 95661-3047
Phone: (916) 736-6644
Fax: (916) 774-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 245775 | Massachusetts |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A158169 | California |
Profile Details
| NPI number | 1235391640 |
|---|---|
| LBN Legal business name | Gogna, Mudita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | May 14th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235391640 | NPPES |
| Massachusetts | MEDICAID | 110088231A |
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