Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anitha Channabasavaiah, MD Inc

Organization Internal Medicine Physician · NPI 1730470022

Anitha Channabasavaiah, MD Inc is an Internal Medicine Physician in Modesto, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1441 Florida Ave
Modesto, CA 95350-4404
Phone: (209) 458-3898
Fax: (209) 551-5720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence A83221 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A83221 (CA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A83221 (CA)

Record details

NPI number1730470022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anitha Channabasavaiah — President · (209) 458-3898
NPI enumeratedApril 21, 2011
Last updated in NPPESApril 21, 2011
Mailing addressPo Box 576368, Modesto, CA 95357-6368

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