IndividualActive
Abid Mogannam, M.D., M.B.A.
NPI 1598056483 · Vascular Surgery Physician · San Jose, CA
Provider details
- NPI number
- 1598056483
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.B.A.
- Sex
- Male
- Sole proprietor
- No
- License
- A123990 (CA)
Mailing address
1900 Camden Ave
San Jose, CA 95124-2944
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2019-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.