PURUSHOTHAM BHAGAVATH

ANTIOCH, CA
NPI1629094263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  A49681)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- PURUSHOTHAM BHAGAVATH M.D.
3901 LONE TREE WAY
ANTIOCH, CA 94509-6200
Phone number: 925-779-7276
Mailing Address
-- PURUSHOTHAM BHAGAVATH M.D.
PO BOX 255849
SACRAMENTO, CA 95865-5849
Phone number: 916-854-6975
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