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1649589052
CHAMPAK VENKITACHALAM
SACRAMENTO, CA
NPI
1649589052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA A122227)
Enumeration Date
2010-10-03
Last Update Date
2019-04-09
Business Address
CHAMPAK VENKITACHALAM MD, MPH
1020 29TH ST STE 480
SACRAMENTO, CA 95816-5173
Phone number: 916-733-3777
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Mailing Address
CHAMPAK VENKITACHALAM MD, MPH
10470 OLD PLACERVILLE RD
SACRAMENTO, CA 95827-2539
Phone number:
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