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SHEFALI DWARKANATH AWATANI MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1194860460

Individual Registrant:
 SHEFALI DWARKANATH AWATANI MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
975 S FAIRMONT AVE  LODI, CA 95240 US
Tel: 209-334-3411  Fax: 209-368-3121

Contact information for business:
2638 CRANSTON CT.  TRACY, CA 95377 US
Tel: 209-830-7118  Fax: 209-830-7118

Registration Information:
NPI: 1194860460
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA85464

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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