Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 036.125049 | IL |
Y | 207K00000X | Allergist & Immunologist | C151621 | CA |
NPI | 1073776555 |
---|---|
Provider Name | Dr. Toral Anil Kamdar |
First Address | Walnut Creek, CA 94598-2452 |
Second Address | Walnut Creek, CA 94598-2452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2008 |
Last Update Date | 09/04/2021 |