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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ABID CHRISTOPHER MOGANNAM, M.D., M.B.A.

Active

DR. ABID CHRISTOPHER MOGANNAM, M.D., M.B.A. is a Vascular Surgery healthcare provider located in SAN JOSE, California. NPI 1598056483 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · SAN JOSE, CA

Registration Details

NPI Number
1598056483
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2011 (15.298702600503 yrs)
Last Updated
Jan 23, 2019
Licenses
A123990 (CA)
LT15520 (ND)
A123990 (CA)

Practice Information

Address
2425 SAMARITAN DR
SAN JOSE, CA, 95124
Browse CA providers · Browse ZIP 95124
Phone
4085592011
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in SAN JOSE, CA

Name Credential NPI
DR. JAFAR TAY MD 1487691606
DR. PETER J SCHUBART MD, PHD 1942238241
DR. RICHARD W STARRETT MD 1104847656
DR. ROGER M HAYASHI MD 1366463812
DR. DAVID W CHANG MD 1265453724
DR. JOHN GRAY BRAWLEY III M.D. 1861413320
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.