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Individual

DR. ASHWINI MYSORE ZENOOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
806 CLARA DR, PALO ALTO, CA 94303-3909
(650) 391-9705
Mailing address
806 CLARA DR, PALO ALTO, CA 94303-3909
(650) 391-9705

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220357
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2064651
MA
01
469115
TUFTS HEALTH PLAN
MA
01
J27403
BCBS MA
MA
Enumeration date
11/30/2005
Last updated
01/27/2010
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