Individual
DR. CLARENCE PREMRAJ ALLEGAKOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 GRANT RD, MOUNTAIN VIEW, CA 94040-4302
(650) 793-4207
(408) 861-0682
Mailing address
10576 JOHNSON AVE, CUPERTINO, CA 95014-3816
(650) 793-4207
(408) 861-0682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A53837
MEDICAL LICENCE NUMBER
CA
Enumeration date
11/15/2006
Last updated
02/10/2017
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