Organization
SHIVANI PHANSE DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVANI PHANSE DPM (CEO)
(510) 371-2359
Entity
Organization
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
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/19/2025
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