Provider Demographics
NPI:1912190083
Name:NATARAJAN, SABAREESH KUMAR (MD MS)
Entity Type:Individual
Prefix:DR
First Name:SABAREESH
Middle Name:KUMAR
Last Name:NATARAJAN
Suffix:
Gender:M
Credentials:MD MS
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Mailing Address - Street 1:8229 EL PASEO GRANDE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3137
Mailing Address - Country:US
Mailing Address - Phone:855-278-6876
Mailing Address - Fax:866-278-6876
Practice Address - Street 1:5525 GROSSMONT CENTER DR STE 602
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3009
Practice Address - Country:US
Practice Address - Phone:855-278-6876
Practice Address - Fax:866-278-6876
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2023-12-13
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Provider Licenses
StateLicense IDTaxonomies
MA276818207T00000X
FLME153587207T00000X
CAC183051207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery