ANITHA CHANNABASAVAIAH, MD INC.

MODESTO, CA
NPI1730470022
Entity TypeOrganization
Authorized ContactANITHA CHANNABASAVAIAH
President
209-458-3898
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA  A83221)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A83221)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA  A83221)
Enumeration Date2011-04-21
Last Update Date2011-04-21
Business Address
ANITHA CHANNABASAVAIAH, MD INC.
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-458-3898
Mailing Address
ANITHA CHANNABASAVAIAH, MD INC.
PO BOX 576368
MODESTO, CA 95357-6368
Phone number: 209-458-3898