is a Nephrology in Modesto, California. practices all healthcare services and medical treatments related to Nephrology. The NPI Number for is 1033220991. The last update date is .
's current location address is 1330 Nelson Ave, Modesto, California. You can contact this provider via phone number 2095761547 and fax number 2095762736. The mailing address for is 1330 Nelson Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1330 Nelson Ave, Modesto, California |
| Phone Number | 2095761547 |
| Fax Number | 2095762736 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033220991 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1330 Nelson Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953505341 |
| Phone Number | 2095761547 |
| Fax Number | 2095762736 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | G30602 |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G306021 | CA | -- |
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