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Individual

PRAVEEN ANCHALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, DEPARTMENT OF RADIOLOGY, SAN JOSE, CA 95128
(408) 885-5000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A117755
CA

Other

Enumeration date
06/22/2010
Last updated
12/04/2023
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