Provider Demographics
NPI:1316996002
Name:KAMATH, SADHANA PANDURANGA (MD)
Entity type:Individual
Prefix:DR
First Name:SADHANA
Middle Name:PANDURANGA
Last Name:KAMATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:41230 11TH ST W STE B
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1411
Mailing Address - Country:US
Mailing Address - Phone:661-272-1400
Mailing Address - Fax:661-272-9499
Practice Address - Street 1:41230 11TH ST W STE B
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1411
Practice Address - Country:US
Practice Address - Phone:661-272-1400
Practice Address - Fax:661-272-9499
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53268207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A532680Medicaid
CAG18916Medicare UPIN