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VINOD CHANDRASHEKHAR PATWARDHAN M.D NPI 1114922606


NPI Information

NPI: 1114922606
Provider Name: VINOD CHANDRASHEKHAR PATWARDHAN, M.D
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
918 W FOOTHILL BLVD
STE B
UPLAND, CA
ZIP 91786
Phone: (909) 949-4435
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Vinod Chandrashekhar Patwardhan, M.D is a hematology and oncology internal medicine in Upland, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Vinod Chandrashekhar Patwardhan, M.D NPI is 1114922606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

918 W FOOTHILL BLVD
STE B
UPLAND, CA
ZIP 91786-772
Phone: (909) 949-4435
Fax: (909) 982-4436

The enumeration date for this NPI number is 6/20/2005 and was last updated on 5/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryA29318CALIFORNIANo
2207RH0003XInternal MedicineHematology & OncologyA29318CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1953066045OTHERCALIFORNIATAX ID NUMBER
200A293180MEDICAIDCALIFORNIA
3LAB64832FMEDICAIDCALIFORNIA
42649122MEDICAIDCALIFORNIA
5A87224MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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