Rudrah Corp

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

RUDRAH CORP

Practice address

515 E Orangeburg Ave
Modesto, CA 95350-5510

Phone

(209) 979-9841

NPI assigned

Dec 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pankaj Malhotra, MD

Title

President

Phone

(203) 979-6841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pankaj Malhotra MD Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1962974857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577003",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577003",
            "telephone_number": "203-979-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505510",
            "telephone_number": "209-979-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDRAH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-979-6841",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851561203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pankaj Malhotra MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margarita Rubio
• Maria Elizabeth Rubio
• Rosalio Orozco Rubio, M.D.
• Sabastian Diego Rubio
• Barbara Ruddy, NP
• Avantika Rudraraju
• Adrian Angelo Rueda, MSW
• Nancy Ruedas
• Cynthia Ruelas
• Parker Rugeley-Valle, ED.D.

• Adult Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.