Organization
EXCEL KIDNEY CARE INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDEEP S BAJWA M.D. (SECRETARY)
(209) 825-2047
Entity
Organization
Contact information
Practice address
1144 NORMAN DR STE 303, MANTECA, CA 95336-5925
(209) 888-4340
(209) 888-4371
Mailing address
1140 NORMAN DR STE 104, MANTECA, CA 95336-5900
(209) 943-0851
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3692662
CA
Other
Enumeration date
11/06/2015
Last updated
08/07/2023
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