Provider Demographics
NPI:1477797603
Name:NADARAJA, GARANI SHIRANTHANA (MD)
Entity Type:Individual
Prefix:DR
First Name:GARANI
Middle Name:SHIRANTHANA
Last Name:NADARAJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 14370
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-0370
Mailing Address - Country:US
Mailing Address - Phone:925-463-0336
Mailing Address - Fax:925-463-1387
Practice Address - Street 1:5820 STONERIDGE MALL RD
Practice Address - Street 2:SUITE 210
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3274
Practice Address - Country:US
Practice Address - Phone:925-463-0336
Practice Address - Fax:925-463-1387
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105932207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology