Individual
ANIL RAGHUNATH GARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5669
(951) 697-5445
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(951) 782-3045
(951) 274-0608
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A25189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ31887Z
GROUP SITE NUMBER
—
Enumeration date
11/10/2005
Last updated
01/07/2015
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