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Individual

NITIN PRAVEEN TALLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MUIR RD, PHYSICAL MEDICINE & REHABILITATION, MARTINEZ, CA 94553
(925) 372-1000
Mailing address
200 MUIR RD, PHYSICAL MEDICINE & REHABILITATION, MARTINEZ, CA 94553-4614
(925) 372-1000

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A175972
CA

Other

Enumeration date
03/31/2018
Last updated
06/27/2025
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