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Dr. Vanitha Banajjar Revanasiddappa, MD
Obstetrics & Gynecology Physician in Merced, California
NPI 1669856217

Vanitha Banajjar Revanasiddappa is a Obstetrics & Gynecology Physician based in Merced, CA. Vanitha Banajjar Revanasiddappa practices in Merced, CA and has the professional credentials of MD. The NPI Number for Vanitha Banajjar Revanasiddappa is 1669856217 and holds a License No. (California).

The current practice location address for Vanitha Banajjar Revanasiddappa is 797 W Childs Ave, Merced, CA and can be reached out via phone at 866-682-4842.

Location: 797 W Childs Ave, Merced, CA, 95341-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669856217
Provider Name
Vanitha Banajjar Revanasiddappa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
797 W Childs Ave, Merced, CA, 95341-6805
Phone Number
866-682-4842
Fax Number
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669856217 05 CA
institution
Provider Business Practice Location Address Details
Address
797 W Childs Ave
City
Merced
State
California
Zip
95341-6805
Phone Number
866-682-4842
Fax Number
person
Provider Business Mailing Address Details
Address
797 W Childs Ave
City
Merced
State
California
Zip
95341-6805
Phone Number
866-682-4842
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
A162179 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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