Individual
JAY RATILAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 W VINE ST, SUITE 100, LODI, CA 95242-3731
(209) 333-3135
(209) 333-3132
Mailing address
2415 W VINE ST, SUITE 100, LODI, CA 95242-3731
(209) 333-3135
(209) 333-3132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A66236
CA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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