Individual
SAILAJA KALIDASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N CALIFORNIA ST STE C, STOCKTON, CA 95202-1515
(209) 953-3700
Mailing address
10100 TRINITY PKWY STE 100, STOCKTON, CA 95219-7239
(209) 953-3700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
A166467
CA
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
05/14/2026
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