Organization
BASS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
(925) 932-6330
Entity
Organization
Contact information
Practice address
108 LA CASA VIA, SUITE 100, WALNUT CREEK, CA 94598-3013
(925) 930-9120
(925) 930-9122
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 948-8143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
11/18/2024
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