Organization
BASS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
(925) 932-6330
Entity
Organization
Contact information
Practice address
1081 MARKET PL STE 200, SAN RAMON, CA 94583-4749
(925) 866-8800
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
11/18/2024
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