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Vishakha Gangadharan
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1871273946

Vishakha Gangadharan is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Vishakha Gangadharan practices in Modesto, CA. The NPI Number for Vishakha Gangadharan is 1871273946 and holds a License No. (California).

The current practice location address for Vishakha Gangadharan is 3409 Palliser Way, Modesto, CA and can be reached out via phone at 209-241-4452.

Location: 3409 Palliser Way, Modesto, CA, 95355-9744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871273946
Provider Name
Vishakha Gangadharan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3409 Palliser Way, Modesto, CA, 95355-9744
Phone Number
209-241-4452
Fax Number
Provider Enumeration Date
07/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3409 Palliser Way
City
Modesto
State
California
Zip
95355-9744
Phone Number
209-241-4452
Fax Number
person
Provider Business Mailing Address Details
Address
3409 Palliser Way
City
Modesto
State
California
Zip
95355-9744
Phone Number
209-241-4452
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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