Individual
ALPANA RAGHAVA GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
850 FREEDOM BLVD, WATSONVILLE, CA 95076-3814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A91983
CA
208100000X
Physical Medicine & Rehabilitation Physician
A91983
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A91983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A919831
INDIVIDUAL PTAN
CA
01
—
A91983
MED LICENSE #
CA
01
—
ZZZ23054Z
MEDICARE GROUP PTAN
CA
Enumeration date
03/13/2007
Last updated
04/10/2024
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