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Dishaben Vallabhbhai Italiya, MD

Internal Medicine in Fresno, CA. Individual provider (NPI-1).

NPI number1154700540
StatusActive
Last updated in NPPESMay 9, 2022

Details

NPI
1154700540
Entity type
Individual (NPI-1)
Name
Dishaben Vallabhbhai Italiya
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2015
Certification date
May 9, 2022
Last updated
May 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA172773CAYes
207R00000X Internal Medicine37248AL

Practice location

45 E River Park Pl W Ste 507
Fresno, CA 93720-1565

Phone 559-603-7367 · Fax 559-603-7366

Mailing address

45 E River Park Pl W Ste 507
Fresno, CA 93720-1565

Phone 559-603-7367 · Fax 559-603-7366

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