1437225976 NPI number — MEENAL D PABARI M.D.

Table of content: MEENAL D PABARI M.D. (NPI 1437225976)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437225976 NPI number — MEENAL D PABARI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PABARI
Provider First Name:
MEENAL
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437225976
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 320006
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS GATOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95032-0100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-374-1212
Provider Business Mailing Address Fax Number:
408-374-4160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
812 POLLARD ROAD
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
LOS GATOS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95032-1420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-374-1212
Provider Business Practice Location Address Fax Number:
408-374-4160
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A68756 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: A687560 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A687560 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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