| Doctor Name: | MOUMITA PODDAR |
| NPI Number: | 1033535927 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 59342 |
| Business Practice Address: | 11833 Loisdale Way Rancho Cordova, CA - 957428029 |
| Business Phone Number: | 9163424774 |
| Business Fax Number: | |
| Mailing Address: | 11833 Loisdale Way, RANCHO CORDOVA |
| State: | CA |
| Postal Code: | 957428029 |
| Phone Number: | 9163424774 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2014 |
| NPI Last Update Date: | 03/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 59342 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |