Edward Bubienko, M.D.,Ph.D.
Radiology, Diagnostic Radiology in Sacramento, CA. Individual provider (NPI-1).
NPI number1245304849
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245304849
- Entity type
- Individual (NPI-1)
- Name
- Edward Bubienko
- Credential
- M.D.,Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | G85652 | CA | Yes |
Practice location
6600 Bruceville RdSacramento, CA 95823-4671
Phone 916-688-2000
Mailing address
1800 Harrison St Fl 7Oakland, CA 94612-3429
Phone 510-625-6262
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