Individual
SIMRANDEEP SINGH KHANUJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 569-7408
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 569-7408
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A189814
CA
207RP1001X
Pulmonary Disease Physician
A189814
CA
Other
Enumeration date
08/10/2017
Last updated
11/01/2023
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