Organization
RAVEENDRA NADARAJA, M.D., F.A.C.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOWRI NADARAJA (MANAGER)
(510) 538-2146
Entity
Organization
Contact information
Practice address
20055 LAKE CHABOT RD STE 330, CASTRO VALLEY, CA 94546-5334
(510) 538-2146
(510) 538-7959
Mailing address
20055 LAKE CHABOT RD STE 330, CASTRO VALLEY, CA 94546-5334
(510) 538-2146
(510) 538-7959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
11/03/2010
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