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Individual

CHRISTOPHER LAKSHMAN GUNASEKERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 S BASCOM AVE, URGENT CARE CLINIC, SAN JOSE, CA 95128-2604
(408) 885-4545
Mailing address
1287 ECHO RIDGE CT, SAN JOSE, CA 95120-4717
(408) 927-0422

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A41868
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A418680
CA
Enumeration date
04/14/2006
Last updated
07/08/2007
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