Provider Demographics
NPI:1457495996
Name:MOHARIR, MINAL VIKRANT (MD)
Entity Type:Individual
Prefix:DR
First Name:MINAL
Middle Name:VIKRANT
Last Name:MOHARIR
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 1:20050 RODRIGUES AVE
Mailing Address - Street 2:APT 14 H
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3148
Mailing Address - Country:US
Mailing Address - Phone:408-996-9862
Mailing Address - Fax:
Practice Address - Street 1:1195 E ARQUES AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3904
Practice Address - Country:US
Practice Address - Phone:408-773-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96728207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine