Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 49687-020 | WI |
N | 111NI0900X | Internist | 49687-020 | WI |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A114478 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 35-090935 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | A114478 | CA |
NPI | 1518052877 |
---|---|
Provider Name | Dr. Mahazarin Rumi Ginwalla |
First Address | Los Altos, CA 94022-1408 |
Second Address | Burlingame, CA 94010-4506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 03/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0066171 | (05) | OH |