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Individual

BINA VASANTHARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(916) 662-5442
Mailing address
10500 CASTINE AVE, CUPERTINO, CA 95014-1354
(916) 662-5442

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A129211
CA

Other

Enumeration date
11/16/2009
Last updated
12/15/2021
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