Om Physicians | |
730 17th St Modesto CA 95354-1209 | |
(925) 398-8466 | |
(925) 954-4770 |
Full Name | Om Physicians |
---|---|
Speciality | Internal Medicine |
Location | 730 17th St, Modesto, California |
Authorized Official Name and Position | Manjula Kundhur Reddy (OWNER/PRESIDENT) |
Authorized Official Contact | 9253988466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Om Physicians Po Box 1648 Pleasanton CA 94566-0164 Ph: (925) 398-8466 | Om Physicians 730 17th St Modesto CA 95354-1209 Ph: (925) 398-8466 |
NPI Number | 1932790433 |
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Provider Enumeration Date | 01/28/2021 |
Last Update Date | 03/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932790433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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