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Organization
TREMAYNE SHANKAR AND KENNEDY-FUNTILA A PROFESSIONAL MED
Active
Organization
TREMAYNE SHANKAR AND KENNEDY-FUNTILA A PROFESSIONAL MED
Active
Other names
Sunrise Center for Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JON TREMAYNE (ADMINISTRATOR)
(209) 629-6468
Entity
Organization
Contact information
Practice address
1600 SUNRISE AVE, SUITE 16, MODESTO, CA 95350-4679
(209) 629-6468
(209) 578-1088
Mailing address
1600 SUNRISE AVE, SUITE 16, MODESTO, CA 95350-4679
(209) 629-6468
(209) 578-1088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CA
Other
Enumeration date
10/13/2010
Last updated
11/22/2011
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