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Organization
MERCED CANCER CENTER A MEDICAL CORPORATION
Active
Organization
MERCED CANCER CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOTA CHANDRA SHEKAR M.D. (OWNER)
(209) 722-5100
Entity
Organization
Contact information
Practice address
424 E YOSEMITE AVE, MERCED, CA 95340-8499
(209) 722-5100
(209) 722-5200
Mailing address
PO BOX 2068, MERCED, CA 95344-0068
(209) 722-5100
(209) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100130
—
CA
Enumeration date
01/31/2006
Last updated
08/22/2020
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