Organization
MODESTO KIDNEY MEDICAL GROUP
Active
Other names
Itsara and Liu MD's
Organization subpart
No
Provider details
NPI number
Authorized official
LORI D MEISCHKE (BILLING MANAGER)
(541) 706-9073
Entity
Organization
Contact information
Practice address
305 E GRANGER AVE, STE 202, MODESTO, CA 95350-4344
(209) 526-1606
(209) 526-1677
Mailing address
305 E GRANGER AVE, SUITE 202, MODESTO, CA 95350-4345
(209) 526-1606
(209) 526-1677
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01031187 02
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0026660
—
CA
Enumeration date
06/01/2005
Last updated
03/29/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us