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Individual

PRIYA PANNEERSELVAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6540
(559) 499-6541
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A18805
CA
207VG0400X
Gynecology Physician
20A18805
CA
207VX0000X
Obstetrics Physician
20A18805
CA

Other

Enumeration date
02/19/2017
Last updated
07/01/2021
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