Individual
MR. PREM GOPALDAS LALWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR CHT CSE
Contact information
Practice address
2305 GLENVIEW DR, MILPITAS, CA 95035-6668
(408) 887-3149
(408) 956-1064
Mailing address
2305 GLENVIEW DR, MILPITAS, CA 95035-6668
(408) 887-3149
(408) 956-1064
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
OT 137
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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