Individual
DR. ANITA J PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1524 MCHENRY AVE, 3RD FLOOR, MODESTO, CA 95350-4500
(209) 557-6200
(209) 557-6239
Mailing address
1524 MCHENRY AVE, 3RD FLOOR, MODESTO, CA 95350-4500
(209) 557-6200
(209) 557-6239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70639
CA
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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