Individual
KISHORE K. KALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036103114
IL
207RN0300X
Nephrology Physician
Primary
C53094
CA
Other
Enumeration date
06/09/2005
Last updated
09/10/2015
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