Doctor Name: | DR. RADHIKA NANDUR BUKKAPATNAM |
NPI Number: | 1043293079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A77931 |
Business Practice Address: | 8110 Laguna Blvd Elk Grove, CA - 957587904 |
Business Phone Number: | 9166833950 |
Business Fax Number: | 9166833970 |
Mailing Address: | 8110 Laguna Blvd, ELK GROVE |
State: | CA |
Postal Code: | 957587904 |
Phone Number: | 9166833950 |
Fax Number: | 9166833970 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | A77931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |