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Individual

KRISHNA VIJAY GAMMU MAHARAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(888) 886-5401
Mailing address
5072 VALLEY HI DR, SACRAMENTO, CA 95823-5157
(510) 593-9779

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
CA
225400000X
Rehabilitation Practitioner
CA
372600000X
Adult Companion
Primary
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/24/2026
Last updated
04/27/2026
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