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:
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 | May 1st, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114922606 | NPPES |
California | MEDICAID | 2649122 | |
California | MEDICAID | LAB64832F | |
California | MEDICAID | 00A293180 |
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