# SAMIR MACWAN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184457970
- **Authorized official:** SAMIR MACWAN MD (OWNER)
- **Authorized official phone:** (760) 895-0639

## Contact information

- **Practice address:** 72780 COUNTRY CLUB DR STE A104, RANCHO MIRAGE, CA 92270-4150
- **Practice address phone:** (760) 895-0639
- **Mailing address:** 72780 COUNTRY CLUB DR STE A104, RANCHO MIRAGE, CA 92270-4150
- **Mailing address phone:** (760) 895-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 11/25/2024