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Vinod Chandrashekhar Patwardhan, MD
Clinical Medical Laboratory in Montclair, California
NPI 1114922606

Vinod Chandrashekhar Patwardhan is a Clinical Medical Laboratory based in Montclair, CA. Vinod Chandrashekhar Patwardhan practices in Montclair, CA and has the professional credentials of MD. The NPI Number for Vinod Chandrashekhar Patwardhan is 1114922606 and holds a License No. A29318 (California).

The current practice location address for Vinod Chandrashekhar Patwardhan is 5404 Moreno St Ste N, Montclair, CA and can be reached out via phone at 909-967-6302 and via fax at 909-949-4441.

Location: 5404 Moreno St Ste N, Montclair, CA, 91763-1666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114922606
Provider Name
Vinod Chandrashekhar Patwardhan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5404 Moreno St Ste N, Montclair, CA, 91763-1666
Phone Number
909-967-6302
Fax Number
909-949-4441
Provider Enumeration Date
06/20/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2649122 05 CA
LAB64832F 05 CA
00A293180 05 CA
institution
Provider Business Practice Location Address Details
Address
5404 Moreno St Ste N
City
Montclair
State
California
Zip
91763-1666
Phone Number
909-967-6302
Fax Number
909-949-4441
person
Provider Business Mailing Address Details
Address
5404 Moreno St Ste N
City
Montclair
State
California
Zip
91763-1666
Phone Number
909-967-6302
Fax Number
909-949-4441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A29318 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
A29318 (California)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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