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Individual

VADIM KAGRAMANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1309 S MARY AVE, SUITE 200, SUNNYVALE, CA 94087-3050
(408) 523-3460
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
C52994
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
4301086798
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4773470
MI
Enumeration date
05/30/2006
Last updated
12/05/2011
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