Individual
DR. KRANTHI KUMAR ACHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
39141 CIVIC CENTER DR, SUITE 335, FREMONT, CA 94538-5818
(510) 248-1450
(510) 742-8244
Mailing address
39141 CIVIC CENTER DR, SUITE 315, FREMONT, CA 94538-5818
(510) 248-1000
(510) 608-6055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A69021
CA
2086S0129X
Vascular Surgery Physician
A69021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A690210
—
CA
01
—
A69021
LICENSE
CA
Enumeration date
07/29/2005
Last updated
12/05/2014
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