Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVANTIKA RUDRARAJU
Active Sole ProprietorAVANTIKA RUDRARAJU is a Sports Medicine (IM) healthcare provider located in MODESTO, California. NPI 1952742751 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · MODESTO, CA
Registration Details
- NPI Number
- 1952742751
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2013 (13.125736794755 yrs)
- Last Updated
- Apr 18, 2024
- Licenses
-
10581A (WY)A177500 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 E ORANGEBURG AVEMODESTO, CA, 953505355Browse CA providers · Browse ZIP 95350
- Phone
- 2095228881
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KIRITKUMAR BABUBHAI PATEL | M.D. | 1427247931 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.