Penta, Mrudula
Penta, Mrudula is an individual health care provider with primary practice located at 1501 Trousdale Dr , Burlingame CA 94010-4506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Penta, Mrudula can be contacted via phone (650) 696-5509.Contact Information
Primary practice address
1501 Trousdale Dr
Burlingame CA 94010-4506
Phone: (650) 696-5509
Fax: (650) 696-5995
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A130188 | California |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A130188 | California |
Profile Details
NPI number | 1568670917 |
---|---|
LBN Legal business name | Penta, Mrudula |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2007 |
Last updated | Apr 4th, 2024 - about 7 months 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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