Modesto Gastroenterology Medical Corporation
Modesto Gastroenterology Medical Corporation is a Gastroenterology Physician in Modesto, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
2336 Sylvan Ave Ste AModesto, CA 95355-9211
Phone: (209) 338-0292
Fax: (209) 338-0298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence A45724 (CA) |
|---|
Record details
| NPI number | 1881748846 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elsakr Magdy — President · (209) 338-0292 |
| NPI enumerated | January 23, 2007 |
| Last updated in NPPES | December 27, 2022 |
| Certification date | December 27, 2022 |
| Mailing address | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 |
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