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Individual

BANNANJE S NAYAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
39001 SUNDALE DR, FREMONT, CA 94538-2005
(510) 796-2579
(510) 796-2589
Mailing address
545 PIERCE ST APT 3107, ALBANY, CA 94706-1072
(510) 796-2579
(510) 796-2589

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00A43182
CA

Other

Enumeration date
09/07/2006
Last updated
07/08/2007
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