Individual
JESSICA GOWRAMMA SHANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
490 ILLINOIS ST, SAN FRANCISCO, CA 94143-2510
(415) 476-1442
Mailing address
490 ILLINOIS ST, SAN FRANCISCO, CA 94143-2510
(415) 476-1442
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
78661
GA
207W00000X
Ophthalmology Physician
Primary
A142871
CA
Other
Enumeration date
06/06/2011
Last updated
10/06/2023
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