| Rudrah Corp | |
|
515 E Orangeburg Ave Modesto CA 95350-5510 | |
| (209) 979-9841 | |
| Not Available |
| Full Name | Rudrah Corp |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 515 E Orangeburg Ave, Modesto, California |
| Authorized Official Name and Position | Pankaj Malhotra (PRESIDENT) |
| Authorized Official Contact | 2039796841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudrah Corp Po Box 577003 Modesto CA 95357-7003 Ph: (203) 979-6841 | Rudrah Corp 515 E Orangeburg Ave Modesto CA 95350-5510 Ph: (209) 979-9841 |
| NPI Number | 1962974857 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962974857 | NPI | - | NPPES |
| 1851561203 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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