Individual
DR. VIVEK VENKATESH SHANBHAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
344 S MONROE ST, SAN JOSE, CA 95128-5108
(408) 876-0636
Mailing address
344 S MONROE ST, SAN JOSE, CA 95128-5108
(408) 876-0636
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NDF-552
CA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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