Organization
MANTECA GASTROENTEROLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIPUDAMAN S BENIWAL MD (OWNER)
(209) 239-0515
Entity
Organization
Contact information
Practice address
1144 NORMAN DR STE 101, MANTECA, CA 95336-5959
(209) 239-0515
Mailing address
1144 NORMAN DR STE 101, MANTECA, CA 95336-5959
(209) 239-0515
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
05/15/2024
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