BANU BRAR (NPI# 1952402141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952402141 |
| Entity Type | Individual |
| Full Name | BANU BRAR |
| Credential | M.D. |
| Practice Address |
3425 Coffee Rd Suite 2a Modesto CA 95355-1582 |
| Practice Telephone | 2095249402 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A94879 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3425 COFFEE RD SUITE 2A |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226149 | Mieczyslaw J. Hetnal | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-06-25 |
| 1982201786 | Estephanie Lua De La Torre | Behavior Technician | 3425 Coffee Rd, Suit C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1912514530 | Jamie Matasci | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-09-28 |
| 1871106427 | Sylvia Gonzalez | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-08-24 |
| 1801427554 | Maya Pearce | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-01-31 |
| 1376914697 | Gretchen Wenaas Arian | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2015-10-13 |
| 1881083194 | Loren Lay | Counselor | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2015-01-10 |
| 1700289816 | Lori Marie Nice | Behavioral Analyst | 3425 Coffee Rd, Modesto, CA 95355 | 2014-10-02 |
| 1831453794 | Ayesha Siddiqua | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2012-06-26 |
| 1306044342 | Lindsay Marie Cunha | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079255 | Aditi Giri | Psychiatry & Neurology | 1510 Florida Ave Ste B, Modesto, CA 95350-4437 | 2014-06-21 |
| 1356453864 | Ricardo Orlando Gonzales | Psychiatry & Neurology | 1127 13th St, Modesto, CA 95354-0907 | 2006-08-31 |
| 1811291503 | Fahmy Ibrahim Md Inc | Psychiatry & Neurology | 1501 Claus Road, Modesto, CA 95355 | 2011-01-10 |
| 1548332380 | Alisha O. Dunn | Psychiatry & Neurology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-15 |
| 1255424404 | Fahmy Ibrahim | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2006-10-02 |
| 1609987510 | Stewart Quisling | Psychiatry & Neurology | 3340 Tully Rd, D-2, Modesto, CA 95350-0838 | 2006-08-31 |
| 1750348025 | Gagandeep Singh Popli | Psychiatry & Neurology | 2020 Coffee Rd, Suite C5, Modesto, CA 95355-2427 | 2006-04-28 |
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| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.