Individual
VINAY CHANDRA GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5526
(831) 423-1264
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 479-6603
(831) 458-6293
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A74884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A748840
—
CA
01
—
00A748843
MEDICARE (PTAN)
CA
Enumeration date
08/10/2006
Last updated
12/26/2014
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