| NPI | 1750655429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITHVI N SHANKAR Owner/President 209-578-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A92177) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-10-15 |