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Organization
MADHU K. KRIS, M.D., INC.
Active
Organization
MADHU K. KRIS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE CHAVEZ (BILLING MANAGER)
(209) 384-3115
Entity
Organization
Contact information
Practice address
750 W OLIVE AVE STE 106, MERCED, CA 95348-2436
(209) 384-3115
(209) 384-8696
Mailing address
750 W OLIVE AVE STE 106, MERCED, CA 95348-2436
(209) 384-3115
(209) 384-8696
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A41735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A450650
MEDICARE PROVIDER NUMBER
CA
05
—
SUR01293F
—
CA
01
—
ZZZ20810Z
GROUP LEGACY NUMBER
CA
Enumeration date
02/12/2008
Last updated
09/21/2010
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