Individual
VARUN PATIBANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 UPPER RAGSDALE DR, MONTEREY, CA 93940-5730
(831) 648-7200
(831) 648-7204
Mailing address
3717 BAIRN CT, PLEASANTON, CA 94588-3403
(925) 523-1511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0089939
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A175590
MEDICAL LICENSE
CA
Enumeration date
04/07/2015
Last updated
08/02/2022
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