Individual
RAMAN DEEP KHEHRA
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
207R00000X
Internal Medicine Physician
MD435085
PA
207RG0100X
Gastroenterology Physician
Primary
C134697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022022220001
—
PA
01
—
P00640711
MEDICARE RAILROAD
PA
Enumeration date
07/22/2008
Last updated
12/16/2021
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