DR. SUDJAI ITSARA M.D. NPI 1699767400

NPI Information

DR. Sudjai Itsara, M.D. is a pediatrics in Modesto, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Sudjai Itsara, M.D. NPI is 1699767400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 E GRANGER AVE STE 201
MODESTO, CA
ZIP 95350-344
Phone: (209) 526-3336
Fax: (209) 526-3316

The enumeration date for this NPI number is 8/17/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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