Prithvi Shankar, M.d., INC

NPI #1750655429 in Modesto, California

Provider Information

NPI Number: 1750655429
Entity Type: Organization
Organization Name: Prithvi Shankar, M.d., INC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 28, 2012
Last Updated: Oct 15, 2012

Practice Location

Address: 400 E ORANGEBURG AVE
Address 2: STE 13
City: Modesto
State: California
ZIP Code: 95350-5342
Phone: (209) 578-1600

Authorized Official

Name: PRITHVI N SHANKAR, M.D.
Title: OWNER/PRESIDENT
Phone: (209) 578-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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