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Individual

DR. GAURAV WAHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2430 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 528-6170
(530) 528-6192
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A14117
CA

Other

Enumeration date
08/17/2011
Last updated
04/09/2018
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