Individual
DR. MYSORE R NAGARAJA
Active
Individual
DR. MYSORE R NAGARAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A25685
CA
207RG0100X
Gastroenterology Physician
Primary
A25685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A256850
—
CA
01
—
W5281
MEDICARE ID
CA
Enumeration date
03/16/2006
Last updated
09/18/2023
Update your record
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