Individual
GIRIDHAR ANDHAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 W LACEY BLVD, SUITE 104, HANFORD, CA 93230-5965
(559) 583-4505
(559) 583-4545
Mailing address
PO BOX 2087, HANFORD, CA 93232-2087
(559) 583-4500
(559) 583-4600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10540
NV
208000000X
Pediatrics Physician
Primary
A102374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500087
—
NV
05
—
1124097043
—
CA
Enumeration date
03/14/2006
Last updated
11/28/2012
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