| Dr Sudjai Itsara, MD | |
|
305 E Granger Ave Ste 201, Modesto, CA 95350-4344 | |
| (209) 526-3336 | |
| (209) 526-3316 |
| Full Name | Dr Sudjai Itsara |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 305 E Granger Ave Ste 201, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699767400 | NPI | - | NPPES |
| 00A380820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A38082 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudjai Itsara, MD 305 E Granger Ave Ste 201, Modesto, CA 95350-4344 Ph: (209) 526-3336 | Dr Sudjai Itsara, MD 305 E Granger Ave Ste 201, Modesto, CA 95350-4344 Ph: (209) 526-3336 |
Charnjeet K Randhawa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 Fax: 559-459-4569 | |
Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842 | |
Lee T Donohue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 | |
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744 | |
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323 | |
Dr. Mary Jessie Sumithra, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-1630 | |
Dena Ann Lenser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3109 Coffee Rd, Ste A, Modesto, CA 95355 Phone: 209-522-0001 Fax: 209-549-7077 |