Individual
DR. VINIT BHARATI MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
7999 GATEWAY BLVD STE 200, NEWARK, CA 94560-1197
(888) 924-1036
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
36642
IA
207W00000X
Ophthalmology Physician
Primary
A83613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730002
—
IA
01
—
20027
WELLMARK BCBS
IA
Enumeration date
07/02/2006
Last updated
03/02/2020
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