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Individual

DR. BHARGAVA GANNAVARAPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 JOSE FIGUERES AVE STE 170, SAN JOSE, CA 95116-1586
(408) 471-2000
Mailing address
200 JOSE FIGUERES AVE STE 170, SAN JOSE, CA 95116-1586
(972) 639-6400
(408) 471-2200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N/A
CA
207RG0100X
Gastroenterology Physician
Primary
036136569
IL

Other

Enumeration date
06/17/2009
Last updated
10/12/2022
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