| Prana Medical Office | |
|
510 Scenic Dr Modesto CA 95350-6126 | |
| (209) 574-1111 | |
| Not Available |
| Full Name | Prana Medical Office |
|---|---|
| Speciality | Family Medicine |
| Location | 510 Scenic Dr, Modesto, California |
| Authorized Official Name and Position | Rao V Mudunuri (M.D.) |
| Authorized Official Contact | 2095741111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prana Medical Office Po Box 1319 Salida CA 95368-1319 Ph: () - | Prana Medical Office 510 Scenic Dr Modesto CA 95350-6126 Ph: (209) 574-1111 |
| NPI Number | 1386739100 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386739100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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