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Individual

RAMAN MORADKHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A90984
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A90984
CA
208M00000X
Hospitalist Physician
A90984
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101362301
PA
Enumeration date
03/07/2006
Last updated
06/19/2013
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