Doctor Name: | DR. SASIKANTH ADIGOPULA |
NPI Number: | 1053325050 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A124986 |
Business Practice Address: | 400 N Pepper Ave Colton, CA - 923241801 |
Business Phone Number: | 9095584200 |
Business Fax Number: | |
Mailing Address: | 11234 Anderson St, LOMA LINDA |
State: | CA |
Postal Code: | 923542804 |
Phone Number: | 7087900512 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | A124986 |
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. |