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NPI Code Detail

MEDICARE: DINESH GNANAVEL

MEDICARE: DINESH GNANAVEL
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
1235Z00000XSpeech-Language PathologistSP19436CA

General Provider Information

NPI Number : 1881255180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINESH GNANAVEL
Provider Business Mailing Address
First Line : 22154 CENTER ST APT 8
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-6646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3025 HIGH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94619-1807
Country : US
Telephone Number : 510-261-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/26/2019

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Directions to “ DINESH GNANAVEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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