Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Abid Christopher Mogannam, MD, MBA

Individual provider Surgery Physician · NPI 1598056483

Dr. Abid Christopher Mogannam, MD, MBA is a Vascular Surgery in San Jose, California. Graduated from University of California, Irvine, California College of Medicine in 2011, 15 years ago. Practices with General Vascular Surgery Medical Group Inc, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and North Dakota.

Years since qualifying
15
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA, ND
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

2425 Samaritan Dr
San Jose, CA 95124
Phone: (408) 559-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2425 Samaritan Dr, San Jose, CA 95124 — (408) 559-2011

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence LT15520 (ND)
Surgery Physician Taxonomy 208600000X · Licence A123990 (CA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence A123990 (CA)

Record details

NPI number1598056483
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedApril 26, 2011
Last updated in NPPESJanuary 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice General Vascular Surgery Medical Group Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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