Individual
DR. MITA PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 947-3393
(925) 947-3396
Mailing address
DEPT 34929, P.O. BOX 39000, SAN FRANCISCO, CA 94139-0001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A131129
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01497419
RAILROAD MEDICARE
CA
Enumeration date
06/27/2011
Last updated
10/07/2015
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