Patwardhan, Vinod Chandrashekhar
Patwardhan, Vinod Chandrashekhar is an sole proprietor health care provider with primary practice located at 5404 Moreno St Ste N , Montclair CA 91763-1666. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Patwardhan, Vinod Chandrashekhar can be contacted via phone (909) 967-6302.Contact Information
Primary practice address
5404 Moreno St Ste N
Montclair CA 91763-1666
Phone: (909) 967-6302
Fax: (909) 949-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | A29318 | California |
| Laboratories / Clinical Medical Laboratory | 291U00000X | A29318 | California |
Profile Details
| NPI number | 1114922606 |
|---|---|
| LBN Legal business name | Patwardhan, Vinod Chandrashekhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114922606 | NPPES |
| California | MEDICAID | 2649122 | |
| California | MEDICAID | LAB64832F | |
| California | MEDICAID | 00A293180 |
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