PRACHI P VISHWASRAO

MODESTO, CA
NPI1568752889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA  A137379)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  01079116)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA  A137379)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-04-08
Last Update Date2020-10-09
Business Address
Miss PRACHI P VISHWASRAO MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-550-3984
Mailing Address
Miss PRACHI P VISHWASRAO MD
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 800-470-0071