Individual
KANTHI N. KIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
PO BOX 12020, WESTMINSTER, CA 92685-2020
(888) 556-5621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A82486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A824860
—
CA
Enumeration date
08/25/2006
Last updated
04/22/2008
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