Individual
SYAM P GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11922 SEACREST DR, STE A, GARDEN GROVE, CA 92840-1937
(714) 636-9100
(714) 636-1806
Mailing address
11922 SEACREST DR, STE A, GARDEN GROVE, CA 92840-1937
(714) 636-9100
(714) 636-1806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A50714
CA
207RG0100X
Gastroenterology Physician
Primary
A50714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A507140
—
CA
Enumeration date
12/27/2005
Last updated
02/12/2008
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