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Contact Information

MUDITA GOGNA, MD
1528 EUREKA RD STE 102
ROSEVILLE, CA95661-3047
 Phone: 916-736-6644
 Fax: 916-774-0143
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MUDITA GOGNA · (Female)

NPI Number 1235391640
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 05/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A158169
  • MA License # 245775
  • MA Medicaid 110088231A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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