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Individual

AKSHATHA GORUR VENKATE GOWDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6000
(559) 459-6748
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53687
WI
207R00000X
Internal Medicine Physician
A135632
CA
208M00000X
Hospitalist Physician
Primary
A135632
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639333164
WI
Enumeration date
07/14/2008
Last updated
09/19/2024
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