DR. Rachel M Gannam, OD

NPI #1073528949 in Thousand Oaks, California

Provider Information

NPI Number: 1073528949
Entity Type: Individual
Name: DR. Rachel M Gannam, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 29, 2006
Last Updated: Jan 20, 2012

Practice Location

Address: 155 E WILBUR RD STE 101
City: Thousand Oaks
State: California
ZIP Code: 91360-7929
Phone: (805) 497-7840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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