Individual
RISHI K WADHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 S ELISEO DR STE 1, GREENBRAE, CA 94904
(415) 514-6868
Mailing address
1100 S ELISEO DR STE 1, GREENBRAE, CA 94904-2017
(415) 514-6868
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A125225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07892
—
LA
Enumeration date
05/24/2007
Last updated
05/31/2018
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