Individual provider · Type 1 NPI

Neelesh S. Bangalore, MD, PhD

Specialist · Tracy, CA

NPI number 1154326262 Active

Practice location

4600 S Tracy Blvd Ste 108
Tracy, CA 95377-8105

Fax (209) 833-7262

Mailing address

PO Box 7667
Stockton, CA 95267-0667

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA70883 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154326262

Neelesh S. Bangalore, MD, PhD's National Provider Identifier is 1154326262, issued on Jun 15, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tracy, CA. The record was last updated on Jun 25, 2012.