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NPI Code Detail

MEDICARE: NEEL DAVE PASRICHA M.D.

MEDICARE: NEEL DAVE PASRICHA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianME145026FL
2390200000XStudent in an Organized Health Care Education/Training Program
3207W00000XOphthalmology PhysicianA152628CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881056596
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEEL DAVE PASRICHA M.D.
Provider Business Mailing Address
First Line : 490 ILLINOIS ST # 4081
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94158-2510
Country : US
Telephone Number : 415-353-2800
Fax Number :
Provider Business Practice Location Address
First Line : 490 ILLINOIS ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94158-2510
Country : US
Telephone Number : 415-353-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 07/15/2021

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