Individual
DR. BHASKARARAO NALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58471 29 PALNS HWY, STE 202, YUCCA VALLEY, CA 92284
(760) 365-6381
(760) 365-5834
Mailing address
5538 SATINLEAF WAY, SAN RAMON, CA 94582-5058
(760) 668-7828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A35263
CA
2086S0129X
Vascular Surgery Physician
A35263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A352630
—
CA
05
—
00A352632
—
CA
Enumeration date
12/28/2006
Last updated
06/29/2020
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