Organization
OCH PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKU NAGPAL M.D. (MANAGING PARTNER)
(408) 947-2518
Entity
Organization
Contact information
Practice address
2105 FOREST AVE, DEPT OF PATHOLOGY, SAN JOSE, CA 95128-1425
(408) 947-2518
(408) 283-7745
Mailing address
PO BOX 31001-2053, PASADENA, CA 91110-2053
(408) 947-2518
(408) 283-7745
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030640
—
CA
Enumeration date
09/08/2005
Last updated
09/10/2014
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