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Provider Information for 1538559877

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. NANDITA RUSHI PANCHAL DDS

Gender: FEMALE

Individual NPI: 1538559877

Calendar   Last Updated:  2021-05-18
  Certification Date:  2021-05-18

Details

Name Value
NPI 1538559877
Enumeration Date 2015-01-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 184 S MADERA AVE
KERMAN, CA 93630-1102
United States

Phone: 909-694-9007 | Fax:
View Map External Link
Primary Practice Address 184 S MADERA AVE
KERMAN, CA 93630-1102
United States

Phone: 559-846-3333 | Fax:
View Map External Link
Secondary Practice Address 1230 S MOONEY BLVD
VISALIA, CA 93277-4436
United States

Phone: 559-802-4299 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 64274