| Anitha Channabasavaiah, Md Inc. | |
|
1441 Florida Ave Modesto CA 95350-4404 | |
| (209) 458-3898 | |
| (209) 551-5720 |
| Full Name | Anitha Channabasavaiah, Md Inc. |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1441 Florida Ave, Modesto, California |
| Authorized Official Name and Position | Anitha Channabasavaiah (PRESIDENT) |
| Authorized Official Contact | 2094583898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anitha Channabasavaiah, Md Inc. Po Box 576368 Modesto CA 95357-6368 Ph: (209) 458-3898 | Anitha Channabasavaiah, Md Inc. 1441 Florida Ave Modesto CA 95350-4404 Ph: (209) 458-3898 |
| NPI Number | 1730470022 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730470022 | NPI | - | NPPES |
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