National Provider Identifier Database

AVINASH M MONDKAR MDA MEDICAL CORPORATION
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


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
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for AVINASH M. MONDKAR M.D.,A MEDICAL CORPORATION

NPI Number 1013068162
Legal business name
LBN
AVINASH M. MONDKAR M.D.,A MEDICAL CORPORATION
Authorized official AVINASH MONDKAR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/16/2007
Last updated 09/10/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A35142
  • CA Medicaid: 00A351420
  • Other: P00736288 PALMETTO GBA MEDICARE/NORTHERN CA
  • Other: 756063687 PALMETTO GBA MEDICARE/SOUTHERN CA

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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