| Manjul Patwardhan Md Professional Corporation | |
|
10353 Torre Ave Ste A Cupertino CA 95014-3217 | |
| (408) 725-1777 | |
| Not Available |
| Full Name | Manjul Patwardhan Md Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10353 Torre Ave, Cupertino, California |
| Authorized Official Name and Position | Manjul C Patwardhan (PRESIDENT AND OWNER) |
| Authorized Official Contact | 4087251777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manjul Patwardhan Md Professional Corporation 898 Persimmon Ave Sunnyvale CA 94087-1819 Ph: (408) 219-3130 | Manjul Patwardhan Md Professional Corporation 10353 Torre Ave Ste A Cupertino CA 95014-3217 Ph: (408) 725-1777 |
| NPI Number | 1336168426 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860574142 |
|---|---|
| Medicare Enrollment ID | O20080124000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336168426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69182 (California) | Primary |
| Provider Name | Manjul C Patwardhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659398360 PECOS PAC ID: 2961464235 Enrollment ID: I20041028001125 |
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