Individual
BHAVANI SANKAR GANNAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 TRANCAS ST, NAPA, CA 94558-2906
(707) 252-4411
Mailing address
PO BOX 511211, LOS ANGELES, CA 90051-3008
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A172643
CA
Other
Enumeration date
05/18/2016
Last updated
09/07/2021
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