Organization
SUMMIT SURGERY CENTER MODESTO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH KUMAR DUBEY MD (MANAGING PARTNER)
(209) 918-5181
Entity
Organization
Contact information
Practice address
654 LYELL DR, MODESTO, CA 95356-8997
(209) 521-9661
(209) 521-2640
Mailing address
3621 FOREST GLENN DR, MODESTO, CA 95355-1339
(209) 521-9661
(209) 521-2640
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
02/28/2020
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