Provider Demographics
NPI:1386852614
Name:PARDO, ADIT (MS)
Entity Type:Individual
Prefix:MISS
First Name:ADIT
Middle Name:
Last Name:PARDO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 UNIVERSITY AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1817
Mailing Address - Country:US
Mailing Address - Phone:650-324-8362
Mailing Address - Fax:
Practice Address - Street 1:3550 MOWRY AVE
Practice Address - Street 2:SUITE #102
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1460
Practice Address - Country:US
Practice Address - Phone:510-745-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program