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Individual

BANU BRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3425 COFFEE RD, SUITE 2A, MODESTO, CA 95355-1582
(209) 524-9402
Mailing address
3425 COFFEE RD, SUITE 2A, MODESTO, CA 95355-1582
(209) 521-6097

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A94879
CA

Other

Enumeration date
09/26/2006
Last updated
09/03/2013
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