Indra De MD, PHD

NPI 1154372951 - Internal Medicine - 207RI0200X

NPI Details
NPI 1154372951
Gender Female
Enumeration Date 05/15/2006
Last Updated 12/02/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2626 N CALIFORNIA ST
STE F
STOCKTON CA, 95204-5500, US
Phone (209) 462-9100
Fax
Business Location
2626 N CALIFORNIA ST
STE F
STOCKTON CA, 95204-5500, US
Phone (209) 462-9100
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State California
License Number C52396
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According to our database, Indra De MD, PHD NPI is 1154372951, taxonomy code is 207RI0200X and license number is C52396, license state is located at California. Indra De MD, PHD physically located at 2626 N California St, Stockton CA, 95204-5500. NPI Number Indra De MD, PHD has the Individual type.

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1154372951 NPI number is provided on an as is basis without warranty of any kind. 1154372951 is maintained by the National Plan & Provider Enumeration System. The contents of Indra De MD, PHD are for informational purposes only.