-- BASAVA KUNAMNEMI -- MD
Individual Provider (NPI-1)
Active
Internal Medicine, Interventional Cardiology
Provider Information
- NPI Number
1376558239- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2800 N CALIFORNIA ST, STOCKTON, CA, 95204
- Phone
- (209) 464-7681
- Fax
- (209) 464-1647
Specialties & Taxonomies
Internal Medicine
License: CA #00C51232D
Internal Medicine, Interventional Cardiology
Primary License: CA #00C512320