ANITHA CHANNABASAVAIAH

MODESTO, CA
NPI1326156431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA  A83221)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A83221)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA  A83221)
Enumeration Date2006-08-28
Last Update Date2023-04-05
Business Address
ANITHA CHANNABASAVAIAH
4501 DALE ROAD
MODESTO, CA 95356
Phone number: 209-485-3898
Mailing Address
ANITHA CHANNABASAVAIAH
PO BOX 576368
MODESTO, CA 95357-6368
Phone number: 209-485-3898