Individual
SUBRAHMANYAM NASIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 E MARCH LN, SUITE B265, STOCKTON, CA 95210-6629
(209) 546-1868
(209) 461-6505
Mailing address
1801 E MARCH LN, SUITE B265, STOCKTON, CA 95210-6629
(209) 546-1868
(209) 461-6505
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A108186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548449846
—
CA
Enumeration date
11/02/2007
Last updated
09/09/2013
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