MEDICARE: MEENAL MUJUMDAR PHYSICAL THERAPY INC

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
1	208100000X	Physical Medicine & Rehabilitation Physician	PT36561	CA

General Provider Information

NPI Number	:	1770089443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEENAL MUJUMDAR PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	175 E EL CAMINO REAL STE B
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2700
Country	:	US
Telephone Number	:	681-209-4930
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 E EL CAMINO REAL STE B
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2700
Country	:	US
Telephone Number	:	650-603-0998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEENAL MUJUMDAR
Credential	:	PT
Telephone Number	:	650-603-0998

Provider Enumeration Date	:	04/02/2018
Last Update Date	:	03/03/2026

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