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Individual

VAISHALI SURESH AHIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
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
207R00000X
Internal Medicine Physician
A99338
CA
208M00000X
Hospitalist Physician
Primary
A99338
CA

Other

Enumeration date
06/19/2007
Last updated
03/17/2011
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