Individual
PREETI J. SRIVATSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1191 E YOSEMITE AVE STE C, MANTECA, CA 95336-5071
(209) 824-2202
(209) 824-2205
Mailing address
PO BOX 1090, LODI, CA 95241-1090
(209) 334-1800
(209) 334-2416
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
31833
IA
207V00000X
Obstetrics & Gynecology Physician
Primary
A83242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776661
—
OH
Enumeration date
05/24/2006
Last updated
09/16/2022
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