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Contact Information

SAMIR P MACWAN, MD
72780 COUNTRY CLUB DR STE 205
RANCHO MIRAGE, CA92270-4150
 Phone: 760-834-3540
 Fax: 760-834-3590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SAMIR P MACWAN · (Male)

NPI # 1265558753
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2007
Last updated 10/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A110848
  • CA Other A110848 LICENSE
Hospital affiliation(s)
  • EISENHOWER MEDICAL CENTER - (Acute Care)
    39-000 BOB HOPE DRIVE
    RANCHO MIRAGE, CA 92270
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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