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Organization
VERDANT HEALTH CARE, INC.
Active
Organization
VERDANT HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITHVI SHANKAR MD (PRESIDENT/OWNER)
(209) 578-1600
Entity
Organization
Contact information
Practice address
400 E ORANGEBURG AVE STE 3, MODESTO, CA 95350-5365
(209) 578-1600
(209) 578-1088
Mailing address
PO BOX 579225, MODESTO, CA 95357-9225
(209) 578-1600
(209) 578-1088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A92177
CA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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