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Mr. Prem Gopaldas Lalwani, OTRCHTCSE
Military Health Care Provider in Milpitas, California
NPI 1083747653

Prem Gopaldas Lalwani is a Military Health Care Provider based in Milpitas, CA. Prem Gopaldas Lalwani practices in Milpitas, CA and has the professional credentials of OTRCHTCSE. The NPI Number for Prem Gopaldas Lalwani is 1083747653 and holds a License No. OT 137 (California).

The current practice location address for Prem Gopaldas Lalwani is 2305 Glenview Dr, Milpitas, CA and can be reached out via phone at 408-887-3149 and via fax at 408-956-1064.

Location: 2305 Glenview Dr, Milpitas, CA, 95035-6668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083747653
Provider Name
Prem Gopaldas Lalwani
Credential
OTRCHTCSE
Provider Entity Type
Individual
Gender
Male
Address
2305 Glenview Dr, Milpitas, CA, 95035-6668
Phone Number
408-887-3149
Fax Number
408-956-1064
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2305 Glenview Dr
City
Milpitas
State
California
Zip
95035-6668
Phone Number
408-887-3149
Fax Number
408-956-1064
person
Provider Business Mailing Address Details
Address
2305 Glenview Dr
City
Milpitas
State
California
Zip
95035-6668
Phone Number
408-887-3149
Fax Number
408-956-1064
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
OT 137 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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