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Rudrah Corp
Adult Medicine Physician in Modesto, California
NPI 1962974857

Rudrah Corp is an Adult Medicine Physician based in Modesto, CA and is specialized in Adult Medicine. Rudrah Corp practices in Modesto, CA. The NPI Number for Rudrah Corp is 1962974857 and holds a License No. (California).

The current practice location address for Rudrah Corp is 515 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-979-9841.

Location: 515 E Orangeburg Ave, Modesto, CA, 95357-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962974857
Provider Name
Rudrah Corp
Credential
Provider Entity Type
Organization
Address
515 E Orangeburg Ave, Modesto, CA, 95357-7003
Phone Number
209-979-9841
Fax Number
Provider Enumeration Date
12/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851561203 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
515 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5510
Phone Number
209-979-9841
Fax Number
person
Provider Business Mailing Address Details
Address
515 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5510
Phone Number
209-979-9841
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
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Definition
Definition to come.
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