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Dr. Sudjai Itsara, MD
Pediatrics Physician in Modesto, California
NPI 1699767400

Sudjai Itsara is a Pediatrics Physician based in Modesto, CA. Sudjai Itsara practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Sudjai Itsara is 1699767400 and holds a License No. A38082 (California).

The current practice location address for Sudjai Itsara is 305 E Granger Ave Ste 201, Modesto, CA and can be reached out via phone at 209-526-3336 and via fax at 209-526-3316. You can also correspond with Sudjai Itsara through the mailing address at 305 E GRANGER AVE STE 201, MODESTO, CA - 95350-4344 (mailing address contact number: 209-526-3336).

Location: 305 E Granger Ave Ste 201, Modesto, CA, 95350-4344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699767400
Provider Name
Sudjai Itsara
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
305 E Granger Ave Ste 201, Modesto, CA, 95350-4344
Phone Number
209-526-3336
Fax Number
209-526-3316
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A380820 05 CA
institution
Provider Business Practice Location Address Details
Address
305 E Granger Ave Ste 201
City
Modesto
State
California
Zip
95350-4344
Phone Number
209-526-3336
Fax Number
209-526-3316
person
Provider Business Mailing Address Details
Address
305 E Granger Ave Ste 201
City
Modesto
State
California
Zip
95350-4344
Phone Number
209-526-3336
Fax Number
209-526-3316
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
A38082 (California)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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