Patwardhan, Vinod Chandrashekhar

Patwardhan, Vinod Chandrashekhar is an sole proprietor health care provider with primary practice located at 918 W Foothill Blvd Ste B, Upland CA 91786-3772. 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) 949-4435.

Contact Information

Primary practice address
918 W Foothill Blvd Ste B Upland CA 91786-3772
Phone: (909) 949-4435
Fax: (909) 982-4436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 May 1st, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114922606 NPPES
California MEDICAID 2649122
California MEDICAID LAB64832F
California MEDICAID 00A293180

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