Individual
VINOD CHANDRASHEKHAR PATWARDHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5404 MORENO ST STE N, MONTCLAIR, CA 91763-1666
(909) 967-6302
(909) 949-4441
Mailing address
5404 MORENO ST STE N, MONTCLAIR, CA 91763-1666
(909) 967-6302
(909) 949-4441
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A29318
CA
291U00000X
Clinical Medical Laboratory
A29318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A293180
—
CA
05
—
2649122
—
CA
05
—
LAB64832F
—
CA
Enumeration date
06/20/2005
Last updated
01/10/2025
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