Individual
DR. CHANDA BANWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 TREAT BLVD, SUITE 220A, WALNUT CREEK, CA 94597-2168
(925) 296-9730
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
116373
CA
207R00000X
Internal Medicine Physician
2010019739
MO
207R00000X
Internal Medicine Physician
Primary
A116373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01371574
RAILROAD MEDICARE
CA
Enumeration date
06/10/2007
Last updated
03/10/2022
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