SHAKTHI VISAGAN

OAKLAND, CA
NPI1154172070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
SHAKTHI VISAGAN MD
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-4800
Mailing Address
SHAKTHI VISAGAN MD
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-4800