Miramonte Internal Medicine, Inc.

NPI #1750714077 in Mountain View, California

Provider Information

NPI Number
1750714077
Entity Type
Organization
Organization Name
Miramonte Internal Medicine, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Aug 12, 2013
Last Updated
Aug 12, 2013

Practice Location

Address
1174 CASTRO ST
Address 2
SUITE 275
ZIP Code
94040-2568
Phone
(650) 988-8011

Authorized Official

Name
PRADIP KUMAR RUSTAGI, M.D.
Title
PRESIDENT
Phone
(650) 988-8011

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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