Individual provider · NPI-1

Dr. Kathleen Angkustsiri, MD

Pediatrics, Developmental - Behavioral Pediatrics · Sacramento, CA

NPI number1851311344
StatusActive
Last updated in NPPESJul 18, 2007

Details

NPI
1851311344
Entity type
Individual (NPI-1)
Name
Dr. Kathleen Angkustsiri
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2006
Last updated
Jul 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral PediatricsA89109CAYes

Practice location

2825 50th St
Ucdavis Mind Institute
Sacramento, CA 95817-2308

Phone 916-703-0278

Mailing address

2825 50th St
Sacramento, CA 95817-2308

Phone 916-703-0278

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