Provider Demographics
NPI:1437225976
Name:PABARI, MEENAL D (MD)
Entity Type:Individual
Prefix:
First Name:MEENAL
Middle Name:D
Last Name:PABARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 320006
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-0100
Mailing Address - Country:US
Mailing Address - Phone:408-374-1212
Mailing Address - Fax:408-374-4160
Practice Address - Street 1:812 POLLARD ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1420
Practice Address - Country:US
Practice Address - Phone:408-374-1212
Practice Address - Fax:408-374-4160
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68756208000000X
CAA687560208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A687560Medicaid