Organization
RUDRAH CORP
Active
Other names
Pankaj Malhotra MD
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ MALHOTRA MD (PRESIDENT)
(203) 979-6841
Entity
Organization
Contact information
Practice address
515 E ORANGEBURG AVE, MODESTO, CA 95350-5510
(209) 979-9841
Mailing address
PO BOX 577003, MODESTO, CA 95357-7003
(203) 979-6841
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851561203
NPI
CA
Enumeration date
12/18/2018
Last updated
12/18/2018
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