Individual
BANNANJE R NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19830 LAKE CHABOT ROAD, STE C, CASTRO VALLEY, CA 94546
(510) 886-7348
Mailing address
19830 LAKE CHABOT ROAD, STE C, CASTRO VALLEY, CA 94546
(510) 886-7348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A34204
CA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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