Individual provider · Type 1 NPI

Sudjai Itsara, MD

Pediatrics Physician · Modesto, CA

NPI number 1699767400 Active · reactivated Aug 31, 2006

Practice location

305 E Granger Ave Ste 201
Modesto, CA 95350-4344

Fax (209) 526-3316

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XA38082 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1699767400

Sudjai Itsara, MD's National Provider Identifier is 1699767400, issued on Aug 17, 2005. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.