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Individual
ISAAC P. GADDAM
Active
Individual
ISAAC P. GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
13753
CA
363L00000X
Nurse Practitioner
Primary
NP13753
CA
Other
Enumeration date
07/21/2008
Last updated
01/04/2017
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