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Individual

GNANA DESIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6850 SEPULVEDA BLVD, SUITE 214, VAN NUYS, CA 91405
(818) 782-3116
(818) 782-3148
Mailing address
6850 SEPULVEDA BLVD, SUITE 214, VAN NUYS, CA 91405
(818) 782-3116
(818) 782-3148

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C41859
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C418590
CA
Enumeration date
06/27/2006
Last updated
07/08/2007
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