-- RYAN BASHAM -- MD
Individual Provider (NPI-1)
Active
Ophthalmology
Provider Information
- NPI Number
1083876098- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 212 OAK MEADOW DR, LOS GATOS, CA, 950324407
- Phone
- (408) 354-4740
Specialties & Taxonomies
Ophthalmology
License: IL #125054496
Ophthalmology
Primary License: CA #00A121146