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Individual

DHEERA TAMVADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1540 FLORIDA AVE, MODESTO, CA 95350-4430
(866) 682-4841
(209) 238-4890
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(866) 682-4842

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271556
MA
207R00000X
Internal Medicine Physician
Primary
A167228
CA

Other

Enumeration date
08/01/2017
Last updated
07/21/2022
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