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Individual

ANEESH LOPEZ-NANDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 VAN NESS AVE STE 405, SAN FRANCISCO, CA 94109-3019
(415) 567-6704
(415) 567-6707
Mailing address
401 PARNASSUS AVE, BOX-0984, SAN FRANCISCO, CA 94143-0984

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
157697
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2017
Last updated
09/30/2021
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