Provider Demographics
NPI:1043229453
Name:ISTWANI, MOSEN (MD)
Entity Type:Individual
Prefix:
First Name:MOSEN
Middle Name:
Last Name:ISTWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3595 VAN BUREN BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-0311
Mailing Address - Country:US
Mailing Address - Phone:951-343-1978
Mailing Address - Fax:951-343-1922
Practice Address - Street 1:3595 VAN BUREN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-0311
Practice Address - Country:US
Practice Address - Phone:951-343-1978
Practice Address - Fax:951-343-1922
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA64871207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology