Bay Valley Medical Group, Inc.

NPI #1497760870 in Castro Valley, California

Provider Information

NPI Number: 1497760870
Entity Type: Organization
Organization Name: Bay Valley Medical Group, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Jul 31, 2006
Last Updated: Apr 28, 2008

Practice Location

Address: 20126 STANTON AVE
Address 2: STE 201
City: Castro Valley
State: California
ZIP Code: 94546-5271
Phone: (510) 581-2559

Authorized Official

Name: MATTHEW BURDUSIS
Title: MANAGER OF INFORMATION SYSTEMS
Phone: (510) 266-5401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Podiatrist	213E00000X
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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DR. Faruqa Shariff Ladha, M.D.	Pediatrics	Castro Valley	AI Deep Dive
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Olivia Pan, M.D.	Pediatrics	Castro Valley	AI Deep Dive
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Kimberly Johnson	Pediatrics	Castro Valley	AI Deep Dive

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