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Organization

COUNTY OF SAN JOAQUIN

Active
Other names
Pathology
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHEELA KAPRE MD, FCCP, FACP (CHIEF MEDICAL OFFICER)
(209) 468-6600
Entity
Organization

Contact information

Practice address
500 W. HOSPITAL RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
05D0609571
CA
207ZC0500X
Cytopathology Physician
05D0609571
CA
207ZH0000X
Hematology (Pathology) Physician
05D0609571
CA
207ZM0300X
Medical Microbiology Physician
05D0609571
CA
207ZP0101X
Anatomic Pathology Physician
05D0609571
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
05D0609571
CA
207ZP0104X
Chemical Pathology Physician
05D0609571
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
05D0609571
CA

Other

Enumeration date
11/15/2006
Last updated
08/24/2022
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