Provider Demographics
NPI:1861685786
Name:CESAR, DENNIS STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:STEPHEN
Last Name:CESAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 STANDIFORD AVE STE F
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1159
Mailing Address - Country:US
Mailing Address - Phone:209-579-5628
Mailing Address - Fax:209-579-5637
Practice Address - Street 1:220 E 13TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-6250
Practice Address - Country:US
Practice Address - Phone:209-383-7534
Practice Address - Fax:209-677-8303
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33716208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G337161Medicaid
CA00G337161Medicaid
A45652Medicare UPIN