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Individual

DR. ANIMESH PETKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6767 NORTH FRESNO AVE, # 101, FRESNO, CA 93710-3329
(559) 432-1000
(559) 432-1034
Mailing address
6767 NORTH FRESNO ST, STE 101, FRESNO, CA 93710
(559) 432-1000
(559) 432-1034

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
119840
FL
207W00000X
Ophthalmology Physician
184359
OR
207W00000X
Ophthalmology Physician
48379
TN
207W00000X
Ophthalmology Physician
60462016
WA
207W00000X
Ophthalmology Physician
Primary
A131108
CA
207W00000X
Ophthalmology Physician
E7446
AR

Other

Enumeration date
04/15/2008
Last updated
07/21/2022
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