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1790772838
PRITHVI NAMBALAT SHANKAR
MODESTO, CA
NPI
1790772838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A92177)
Enumeration Date
2005-10-04
Last Update Date
2014-01-21
Business Address
-- PRITHVI NAMBALAT SHANKAR MD
400 E ORANGEBURG AVE STE 3
MODESTO, CA 95350-5342
Phone number: 209-578-1600
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Mailing Address
-- PRITHVI NAMBALAT SHANKAR MD
PO BOX 579225
MODESTO, CA 95357-9225
Phone number: 209-578-1600
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