Individual provider · Type 1 NPI

Pushpa Nagaram Vadivel

Specialist · San Diego, CA

NPI number 1558515445 Active

Practice location

4725 Market St
San Diego, CA 92102-4715

Call (619) 515-2560 Map

Mailing address

27212 Calaroga Ave
Hayward, CA 94545-4339

Other practice locations

  • 27212 Calaroga Ave, Hayward, CA 94545-4339 · (510) 293-5655

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA105920 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558515445

Pushpa Nagaram Vadivel's National Provider Identifier is 1558515445, issued on Nov 5, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Feb 10, 2022.