Provider Demographics
NPI:1609032358
Name:MAND, RAMINDER P (MD)
Entity Type:Individual
Prefix:
First Name:RAMINDER
Middle Name:P
Last Name:MAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 579850
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-5850
Mailing Address - Country:US
Mailing Address - Phone:209-777-3500
Mailing Address - Fax:209-667-9900
Practice Address - Street 1:981 E TUOLUMNE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-1544
Practice Address - Country:US
Practice Address - Phone:209-777-3500
Practice Address - Fax:209-667-9900
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2016-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA90869207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1609032358Medicaid
CA1609032358Medicare NSC