Jay G. Wani, M.d., Inc. | |
1401 Spanos Ct Suite 102 Modesto CA 95355-2810 | |
(209) 525-3113 | |
(209) 525-3114 |
Full Name | Jay G. Wani, M.d., Inc. |
---|---|
Speciality | Family Medicine |
Location | 1401 Spanos Ct, Modesto, California |
Authorized Official Name and Position | Jay G Wani (M.D.) |
Authorized Official Contact | 2095253113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jay G. Wani, M.d., Inc. 1401 Spanos Ct Suite 102 Modesto CA 95355-2810 Ph: (209) 525-3113 | Jay G. Wani, M.d., Inc. 1401 Spanos Ct Suite 102 Modesto CA 95355-2810 Ph: (209) 525-3113 |
NPI Number | 1215122452 |
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Provider Enumeration Date | 09/11/2007 |
Last Update Date | 09/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215122452 | NPI | - | NPPES |
8726716 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A32304 (California) | Primary |
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