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Organization
PRANA MEDICAL OFFICE
Active
Organization
PRANA MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO V MUDUNURI M.D. (M.D.)
(209) 574-1111
Entity
Organization
Contact information
Practice address
510 SCENIC DR, MODESTO, CA 95350-6126
(209) 574-1111
Mailing address
PO BOX 1319, SALIDA, CA 95368-1319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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