NAVIN MALLAVARAM, M.D., INC.
Psychiatric at Stoneridge Dr, Pleasanton, CA

License number
California A104871
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: DR. NAVIN MALLAVARAM M.D.
Title: PRESIDENT
Phone: (925) 469-9120
Address
Address
5924 Stoneridge Dr SUITE 206, Pleasanton, CA 94588
National Provider ID: 1164708582
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NAVIN MALLAVARAM, M.D., INC

Pleasanton, CA  -  San Ramon, CA

Industry:
Medical Doctor's Office
Doing business as:
Navin Mallavaram MD
Registration:
Nov 20, 2008
Phone:
(925) 469-9120 (Phone)
Addresses:
5924 Stoneridge Dr STE 206, Pleasanton, CA 94588 (Physical)
4384 Fitzwilliam St, Pleasanton, CA 94568
2615 Casella Way, San Ramon, CA 94582
State ID:
C3180388
Business type:
Articles of Incorporation
President, Medical Doctor, Principal:
Navin Mallavaram (President, Medical Doctor, Principal)

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