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INDRA DE MD, PhD

Individual Provider (NPI-1) Active

Internal Medicine, Infectious Disease

Provider Information

NPI Number
1154372951
Provider Type
Individual Provider (NPI-1)
Credentials
MD, PhD
Status
Active

Contact & Location

Address
1800 N CALIFORNIA ST, STOCKTON, CA, 952046019
Phone
(209) 943-2000

Specialties & Taxonomies

Internal Medicine, Infectious Disease Primary License: CA #C52396

All Addresses

LOCATION

1800 N CALIFORNIA ST

STOCKTON, CA, 952046019

(209) 943-2000

MAILING

3905 GLEN ABBY CIR

STOCKTON, CA, 952191800

(209) 462-9100