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NPI Code Detail

MEDICARE: DR. UMESH HANSRAJ GHEEWALA M.D.

MEDICARE: DR. UMESH HANSRAJ GHEEWALA 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
1207R00000XInternal Medicine PhysicianMD-3715HI
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianA38329CA
3208000000XPediatrics PhysicianA38329CA
4207R00000XInternal Medicine PhysicianA38329CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A38329OTHERCACA STATE MEDICAL LICENSE
2MD-03715OTHERHIHAWAII STATE MED LICENSE

General Provider Information

NPI Number : 1982608568
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. UMESH HANSRAJ GHEEWALA M.D.
Provider Business Mailing Address
First Line : 325 DISTEL CIR
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1408
Country : US
Telephone Number : 650-696-4758
Fax Number :
Provider Business Practice Location Address
First Line : 100 S SAN MATEO DR
Second Line :
City : SAN MATEO
State : CA
Zip : 94401-3805
Country : US
Telephone Number : 650-696-4758
Fax Number : 650-404-8408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 08/03/2023

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