Individual
AVANTI ARVIND GHANEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
201 4TH ST APT 503, OAKLAND, CA 94607-4373
(408) 655-4717
Mailing address
201 4TH ST APT 503, OAKLAND, CA 94607-4373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14340
CA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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