Organization
RIPUDAMAN S BENIWAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLINE A CLEVENGER (BILLER)
(209) 239-0515
Entity
Organization
Contact information
Practice address
1144 NORMAN DR, SUITE 101, MANTECA, CA 95336-5925
(209) 239-0515
(209) 239-0504
Mailing address
1144 NORMAN DR, SUITE 101, MANTECA, CA 95336-5925
(209) 239-0515
(209) 239-0504
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A067409
CA
Other
Enumeration date
05/27/2008
Last updated
09/19/2008
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