Individual
MANAVJYOT S HEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2151 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 832-0535
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34861
AZ
207R00000X
Internal Medicine Physician
A96928
CA
208M00000X
Hospitalist Physician
Primary
A96928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A969280
—
CA
Enumeration date
05/28/2006
Last updated
01/31/2014
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