MEDICARE: ANANDEV N GURJALA M.D., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	A127408	CA

General Provider Information

NPI Number	:	1407180623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANANDEV N GURJALA M.D., M.S.

Provider Business Mailing Address
First Line	:	2299 POST ST STE 207
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3473
Country	:	US
Telephone Number	:	415-530-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	2299 POST ST STE 207
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3473
Country	:	US
Telephone Number	:	415-530-5335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2009
Last Update Date	:	12/11/2025

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