Healthcare Provider Details

I. General information

NPI: 1962081869
Provider Name (Legal Business Name): NEHA THAWANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 BLAKE WILBUR DR
PALO ALTO CA
94304-2201
US

IV. Provider business mailing address

3031 W GRAND BLVD
DETROIT MI
48202-3046
US

V. Phone/Fax

Practice location:
  • Phone: 650-498-0698
  • Fax:
Mailing address:
  • Phone: 313-916-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VC0300X
TaxonomyComplex Family Planning Physician
License NumberA202190
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: