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Individual

ANITA KOTAMRAJU RAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
2425 EAST STREET #14, CONCORD, CA 94520
(925) 676-7622
Mailing address
2425 EAST STREET #14, CONCORD, CA 94520
(925) 676-7622

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A34584
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A34840
BLUE SHIELD
CA
Enumeration date
11/02/2006
Last updated
09/10/2009
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