Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A35036 | CA |
NPI | 1013089408 |
---|---|
Provider Name | Pushpa P Dalal |
First Address | Pleasanton, CA 94588-5300 |
Second Address | Pleasanton, CA 94588-5300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 18/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A27666 | (02) |