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Organization
TAKI N ANAGNOSTON MEDICAL CORPORATION
Active
Organization
TAKI N ANAGNOSTON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKI N ANAGNOSTON M.D. (PRESIDENT)
(408) 847-3100
Entity
Organization
Contact information
Practice address
700 W 6TH ST STE R, GILROY, CA 95020-6014
(408) 847-3100
(418) 847-4925
Mailing address
700 W 6TH ST STE R, GILROY, CA 95020-6014
(408) 847-3100
(418) 847-4925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0C22061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0001420
—
CA
Enumeration date
08/25/2006
Last updated
08/22/2020
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