Individual
SANJEEV VAISHAMPAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1148 NORMAN DR STE 3, MANTECA, CA 95336-5961
(209) 824-1555
(209) 823-1147
Mailing address
415 E HARDING WAY, SUITE D, STOCKTON, CA 95204-6118
(209) 944-5750
(209) 464-2684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301055102
MI
207RC0000X
Cardiovascular Disease Physician
Primary
G88588
CA
Other
Enumeration date
03/08/2006
Last updated
01/26/2011
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