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Contact Information

AVINASH M. MONDKAR M.D.,A MEDICAL CORPORATION
1041 N CHINA LAKE BLVD
SUITE A
RIDGECREST, CA93555-3168
 Phone: 310-657-1995
 Fax: 310-657-5311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AVINASH M MONDKAR MDA MEDICAL CORPORATION · (Female)

NPI # 1013068162
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2007
Last updated 09/10/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A35142
  • CA Medicaid 00A351420
  • Other P00736288 PALMETTO GBA MEDICARE/NORTHERN CA
  • Other 756063687 PALMETTO GBA MEDICARE/SOUTHERN CA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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