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Dr. Amrita Manglesh Desai, MD
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1396430195

Amrita Manglesh Desai is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Amrita Manglesh Desai practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Amrita Manglesh Desai is 1396430195 and holds a License No. 12499 (California).

The current practice location address for Amrita Manglesh Desai is 1400 Florida Ave Ste 102, Modesto, CA and can be reached out via phone at 209-573-6147.

Location: 1400 Florida Ave Ste 102, Modesto, CA, 95350-4446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396430195
Provider Name
Amrita Manglesh Desai
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1400 Florida Ave Ste 102, Modesto, CA, 95350-4446
Phone Number
209-573-6147
Fax Number
Provider Enumeration Date
04/07/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12499 01 CA PTL
institution
Provider Business Practice Location Address Details
Address
1400 Florida Ave Ste 102
City
Modesto
State
California
Zip
95350-4446
Phone Number
209-573-6147
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Florida Ave Ste 102
City
Modesto
State
California
Zip
95350-4446
Phone Number
209-573-6147
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12499 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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