| Doctor Name: | ISAAC GADDAM |
| NPI Number: | 1992960843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 13753 |
| Business Practice Address: | 1420 W H St Oakdale, CA - 953613557 |
| Business Phone Number: | 2098484180 |
| Business Fax Number: | 2098485337 |
| Mailing Address: | 1420 W H St, OAKDALE |
| State: | CA |
| Postal Code: | 953613557 |
| Phone Number: | 2098484180 |
| Fax Number: | 2098485337 |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |