Indra De M.d., Inc.
NPI #1316147986 in Stockton, California
Provider Information
- NPI Number
- 1316147986
- Entity Type
- Organization
- Organization Name
- Indra De M.d., Inc.
- Primary Specialty
- Internal Medicine - Infectious Disease
- Enumeration Date
- Jul 23, 2007
- Last Updated
- Mar 11, 2019
Practice Location
- Address
- 2333 W MARCH LN STE A1
- City
- Stockton
- State
- California
- ZIP Code
- 95207-5263
- Phone
- (209) 462-9100
Authorized Official
- Name
- DR. INDRA DE, MD
- Title
- PRESIDENT
- Phone
- (209) 462-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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