Individual provider · Type 1 NPI

Brad Nanigian, MD

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1205807484 Active

Practice location

7373 West Ln, Surgery Clinic
Stockton, CA 95210-3377

Call (209) 476-2120 Map

Mailing address

5232 U St
Sacramento, CA 95817-1646

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205807484

Brad Nanigian, MD's National Provider Identifier is 1205807484, issued on Jan 27, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Feb 11, 2022.