Organization
CHAITANYA N. MAHIDA M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITANYA N MAHIDA M.D. (PRESIDENT)
(209) 847-0314
Entity
Organization
Contact information
Practice address
1425 W H ST, SUITE 380, OAKDALE, CA 95361-3588
(209) 847-0314
Mailing address
1425 W H ST, SUITE 380, OAKDALE, CA 95361-3588
(209) 847-0314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A48275
CA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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