Modesto Kidney Medical Group
Modesto Kidney Medical Group provides Nephrology Physician services in Modesto, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
Practice location Address checks out
305 E Granger Ave Ste 202Modesto, CA 95350-4344 Not confirmed with CMS for 13 years — call before visiting
Phone: (209) 526-1606
Fax: (209) 526-1677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X · Licence 01031187 02 (CA) |
|---|
Record details
| NPI number | 1306848569 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lori Meischke — Billing Manager · (541) 706-9073 |
| Other names | Itsara And Liu Md'S |
| NPI enumerated | June 1, 2005 |
| Last updated in NPPES | March 29, 2013 |
| Mailing address | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4345 |
Other providers in Modesto
-
Chang S Joo, MD
305 E Granger Ave Ste 202, Modesto, CA 95350-4344 · (209) 526-1606
-
Kishore K. Kalluri, MD
600 Coffee Rd, Modesto, CA 95355-4201 · (209) 524-1211
-
Kenneth K Liu, MD
305 E Granger Ave Ste 202, Modesto, CA 95350-4344 · (209) 526-1606
-
Mark T. Fahlen, MD, Inc a Professional Medical Corporation
1400 Florida Ave Ste 109, Modesto, CA 95350-4422 · (209) 544-2910
-
Jose M. R. Santos, MD
608 E Orangeburg Ave, Modesto, CA 95350-5513 · (209) 529-2645
-
Ronak Chandrakant Shah, MD
600 Coffee Rd, Modesto, CA 95355-4201 · (209) 521-6097
-
Mohit Shahani, MD
4601 Dale Rd, Modesto, CA 95356-9718 · (209) 557-1000
-
Tong Sun, MD
305 E Granger Ave Ste 202, Modesto, CA 95350-4345 · (209) 526-1606