Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A109209 | CA |
NPI | 1295991354 |
---|---|
Provider Name | Dr. Bhoomika Ramrao Kamath |
First Address | Los Altos, CA 94022-1408 |
Second Address | Castro Valley, CA 94546-5305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 10/09/2020 |