Organization
GSP PROFESSIONAL CORPORATION
Active
Other names
Shaw Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MANAVJEET SIDHU MD (DIRECTOR)
(559) 840-3991
Entity
Organization
Contact information
Practice address
110 E SHAW AVE, FRESNO, CA 93710-7608
(559) 840-3991
Mailing address
1830 W ASHLAN AVE, FRESNO, CA 93705-1802
(559) 840-3991
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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