Individual
SARVESH PERIYASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
500 PASTEUR DR, PALO ALTO, CA 94304-1048
(650) 723-4000
Mailing address
911 GREENWOOD ST, HOLMEN, WI 54636-9487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PTL14376
CA
Other
Enumeration date
03/27/2023
Last updated
01/22/2024
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