Individual
SHIVANI PHANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10727 SANTA TOMASA AVE, SAN DIEGO, CA 92127-3309
(510) 371-2359
Mailing address
10727 SANTA TOMASA AVE, SAN DIEGO, CA 92127-3309
(510) 371-2359
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6018
CA
Other
Enumeration date
05/06/2020
Last updated
10/30/2025
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