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APPANNAGARI GNANADEV MD NPI 1104933985


NPI Information

NPI: 1104933985
Provider Name: APPANNAGARI GNANADEV, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
400 N PEPPER AVE
ARMC MODULAR # 3
COLTON, CA
ZIP 92324
Phone: (909) 580-6210
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Appannagari Gnanadev, MD is a surgery in Colton, CA with 52 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Appannagari Gnanadev, MD NPI is 1104933985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 N PEPPER AVE
ARMC MODULAR # 3
COLTON, CA
ZIP 92324-801
Phone: (909) 580-6210
Fax: (909) 580-1363

The enumeration date for this NPI number is 8/25/2006 and was last updated on 9/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical Care00A357430CALIFORNIANo
22086S0129XSurgeryVascular Surgery00A357430CALIFORNIANo
3208600000XSurgery00A357430CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A357430MEDICARE PINCALIFORNIA
2A27892MEDICARE UPIN
3GR0079700MEDICAIDCALIFORNIA
4ZZZ13858ZMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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