Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A107563 | CA |
N | 2080P0205X | Pediatric Endocrinologist | 4301083022 | MI |
NPI | 1184816175 |
---|---|
Provider Name | Swati Pandya |
First Address | Mountain View, CA 94040-6201 |
Second Address | San Jose, CA 95129-4552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 08/12/2011 |