Individual
DR. VIMAL I NANAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 OTAY LAKES RD STE 110, BONITA, CA 91902-2444
(619) 585-0476
Mailing address
PO BOX 1734, POWAY, CA 92074-1734
(619) 585-0476
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G83522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G835220
—
CA
01
—
W18989
MEDICARE
CA
Enumeration date
08/24/2006
Last updated
01/07/2026
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