Individual provider · Type 1 NPI

Abid Christopher Mogannam, MD, M.B.A.

Vascular Surgery Physician · San Jose, CA

NPI number 1598056483 Active

Practice location

2425 Samaritan Dr
San Jose, CA 95124

Call (408) 559-2011 Map

Mailing address

1900 Camden Ave, Ste 101
San Jose, CA 95124-2944

Other practice locations

  • 2425 Samaritan Dr, San Jose, CA 95124 · (408) 559-2011

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XA123990 (CA)
Vascular Surgery Physician Primary 2086S0129XLT15520 (ND)
Vascular Surgery Physician 2086S0129XA123990 (CA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1598056483

Abid Christopher Mogannam, MD, M.B.A.'s National Provider Identifier is 1598056483, issued on Apr 26, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in San Jose, CA. The record was last updated on Jan 23, 2019.