Mathivanan, Gajan Tristan
Mathivanan, Gajan Tristan is an individual health care provider with primary practice located at 230 S Main St , Angels Camp CA 95222-9359. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mathivanan, Gajan Tristan can be contacted via phone (209) 736-4623.Contact Information
Primary practice address
230 S Main St
Angels Camp CA 95222-9359
Phone: (209) 736-4623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 82486 | California |
Profile Details
| NPI number | 1609485044 |
|---|---|
| LBN Legal business name | Mathivanan, Gajan Tristan |
| Credentials | PHARM.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2020 |
| Last updated | Jul 30th, 2020 - about 5 years ago |
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.
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