Organization
BASS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
(925) 932-6330
Entity
Organization
Contact information
Practice address
2550 SAMARITAN DR STE D, SAN JOSE, CA 95124-4104
(408) 358-2666
(408) 358-7974
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 378-4512
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
11/27/2024
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