Individual
AKASH SELVAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHELORS OF SCIENCE
Contact information
Practice address
42603 HAMILTON WAY, FREMONT, CA 94538-5534
(510) 676-6979
Mailing address
42603 HAMILTON WAY, FREMONT, CA 94538-5534
(510) 676-6979
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y4928407
CALIFORNIA IDENTIFICATION CARD
CA
Enumeration date
08/18/2021
Last updated
08/18/2021
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