Doctor Name: | KALLE VARAV |
NPI Number: | 1083652721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A61783 |
Business Practice Address: | 3275 Aptos Rancho Rd #a Aptos, CA - 950033983 |
Business Phone Number: | 8059281731 |
Business Fax Number: | 8053498160 |
Mailing Address: | Po Box 6406, SANTA MARIA |
State: | CA |
Postal Code: | 934566406 |
Phone Number: | 8059281731 |
Fax Number: | 8053498160 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A61783 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |