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Neelesh S Bangalore, MD,PHD
Specialist in Tracy, California
NPI 1154326262

Neelesh S Bangalore is a Specialist based in Stockton, CA. Neelesh S Bangalore practices in Tracy, CA and has the professional credentials of MD,PHD. The NPI Number for Neelesh S Bangalore is 1154326262 and holds a License No. A70883 (California).

The current practice location address for Neelesh S Bangalore is 4600 S Tracy Blvd Ste 108, Tracy, CA and can be reached out via phone at 209-839-9115 and via fax at 209-833-7262.

Location: 4600 S Tracy Blvd Ste 108, Tracy, CA, 95267-0667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154326262
Provider Name
Neelesh S Bangalore
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
4600 S Tracy Blvd Ste 108, Tracy, CA, 95267-0667
Phone Number
209-839-9115
Fax Number
209-833-7262
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
900085684 01 CA TAX ID
DC7234 01 CA RAILROAD
ZZZ08571Z 01 CA BLUE SHIELD
00A708832 01 CA MEDI CAL
00A708831 05 CA
P00186385 01 CA RAILROAD
institution
Provider Business Practice Location Address Details
Address
4600 S Tracy Blvd Ste 108
City
Tracy
State
California
Zip
95377-8105
Phone Number
209-839-9115
Fax Number
209-833-7262
person
Provider Business Mailing Address Details
Address
4600 S Tracy Blvd Ste 108
City
Tracy
State
California
Zip
95377-8105
Phone Number
209-839-9115
Fax Number
209-833-7262
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A70883 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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