Provider Demographics
NPI:1528763703
Name:CHULUUNERDENE, ERDEMBILEG (MD)
Entity type:Individual
Prefix:DR
First Name:ERDEMBILEG
Middle Name:
Last Name:CHULUUNERDENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ERDEMBILEG
Other - Middle Name:
Other - Last Name:CHULUUNERDNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4400 V ST STE 1102
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1445
Mailing Address - Country:US
Mailing Address - Phone:916-734-3331
Mailing Address - Fax:
Practice Address - Street 1:4400 V ST STE 1102
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1445
Practice Address - Country:US
Practice Address - Phone:916-734-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program