# RUDRAH CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pankaj Malhotra MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962974857
- **Authorized official:** PANKAJ MALHOTRA MD (PRESIDENT)
- **Authorized official phone:** (203) 979-6841

## Contact information

- **Practice address:** 515 E ORANGEBURG AVE, MODESTO, CA 95350-5510
- **Practice address phone:** (209) 979-9841
- **Mailing address:** PO BOX 577003, MODESTO, CA 95357-7003
- **Mailing address phone:** (203) 979-6841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2018
- **Last updated:** 12/18/2018