# AMOD P TENDULKAR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437460516
- **Authorized official:** DR. AMOD P TENDULKAR MD (PRESIDENT)
- **Authorized official phone:** (209) 948-1234

## Contact information

- **Practice address:** 1617 N CALIFORNIA ST, SUITE 1D, STOCKTON, CA 95204-6117
- **Practice address phone:** (209) 948-1234
- **Practice address fax:** (209) 462-9233
- **Mailing address:** 1617 N CALIFORNIA ST, SUITE 1D, STOCKTON, CA 95204-6117
- **Mailing address phone:** (209) 948-1234
- **Mailing address fax:** (209) 462-9233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A81369 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010