Individual
SAMIR P. MACWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72780 COUNTRY CLUB DR STE 205, RANCHO MIRAGE, CA 92270-4150
(760) 834-3540
(760) 834-3590
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 834-3590
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
A110848
CA
2084N0400X
Neurology Physician
A110848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A110848
LICENSE
CA
Enumeration date
03/22/2007
Last updated
10/30/2023
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