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Organization
PRITHVI SHANKAR, M.D., INC
Active
Organization
PRITHVI SHANKAR, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITHVI N SHANKAR M.D. (OWNER/PRESIDENT)
(209) 578-1600
Entity
Organization
Contact information
Practice address
400 E ORANGEBURG AVE, STE 13, MODESTO, CA 95350-5342
(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
02/28/2012
Last updated
10/15/2012
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