Individual
DR. NEERAJ J. PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8745 AERO DR, SUITE 200, SAN DIEGO, CA 92123-1761
(858) 565-0950
(858) 565-2863
Mailing address
PO BOX 23540, SAN DIEGO, CA 92193-3540
(858) 565-0950
(858) 565-2863
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A83142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083810
—
CA
05
—
GR0083811
—
CA
05
—
GR0083812
—
CA
05
—
GR0083813
—
CA
05
—
GR0083814
—
CA
05
—
GR0083815
—
CA
05
—
GR0083816
—
CA
05
—
GR0083817
—
CA
05
—
ZZZ75341Z
—
CA
Enumeration date
05/17/2006
Last updated
09/19/2007
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