Individual
ASHOK V DAFTARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 955-7700
(209) 473-9298
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A30233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A302330
—
CA
Enumeration date
04/20/2006
Last updated
12/30/2016
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