Individual
MANREET BASRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 E MARCH LN STE D400, STOCKTON, CA 95210-6675
(209) 464-3615
Mailing address
1801 E MARCH LN STE D400, STOCKTON, CA 95210-6675
(209) 464-3615
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C137215
CA
207RC0000X
Cardiovascular Disease Physician
P9302
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2009
Last updated
01/24/2019
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