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Organization
PRIMARY CARE INTERNIST INC
Active
Organization
PRIMARY CARE INTERNIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ K BANKA M.D. (PRESIDENT)
(559) 448-0944
Entity
Organization
Contact information
Practice address
6700 N 1ST ST STE 111, FRESNO, CA 93710-3947
(559) 448-0944
(559) 448-0904
Mailing address
6700 N 1ST ST STE 111, FRESNO, CA 93710-3947
(559) 448-0944
(559) 448-0904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A40921
CA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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