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1982057154
MATHURAN SUNDARAMOORTHY
MODESTO, CA
NPI
1982057154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A160431)
Enumeration Date
2016-07-22
Last Update Date
2024-01-04
Business Address
MATHURAN SUNDARAMOORTHY
2101 TENAYA DR
MODESTO, CA 95354-3930
Phone number: 866-682-4842
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Mailing Address
MATHURAN SUNDARAMOORTHY
1114 6TH ST
MODESTO, CA 95354-2203
Phone number: 866-682-4842
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