Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E4873 | CA |
N | 222Z00000X | Podiatrist | E4873 | CA |
Y | 213EP1101X | Primary Podiatric Medicine | 4873 | CA |
NPI | 1588854723 |
---|---|
Provider Name | Dr. Sima Chirag Pandya |
First Address | Pleasanton, CA 94588-4054 |
Second Address | Pleasanton, CA 94588-4054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 25/03/2020 |