Individual
BASAVARAJ NAGAPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 241-0410
Mailing address
3116 W. MARCH LN, STE 200, STOCKTON, CA 95219-2370
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A91561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91561
STATE LICENSE #
CA
05
—
GR0055650
—
CA
Enumeration date
03/08/2006
Last updated
07/09/2007
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