Organization
SAMIR MACWAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR MACWAN MD (OWNER)
(760) 895-0639
Entity
Organization
Contact information
Practice address
72780 COUNTRY CLUB DR STE A104, RANCHO MIRAGE, CA 92270-4150
(760) 895-0639
Mailing address
72780 COUNTRY CLUB DR STE A104, RANCHO MIRAGE, CA 92270-4150
(760) 895-0639
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
11/25/2024
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