Provider Demographics
NPI:1467590240
Name:DANFORTH, PALLAVI ABHYANKAR (DO)
Entity Type:Individual
Prefix:MRS
First Name:PALLAVI
Middle Name:ABHYANKAR
Last Name:DANFORTH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:PALLAVI
Other - Middle Name:ABHYANKAR
Other - Last Name:DANFORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 255228
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-5228
Mailing Address - Country:US
Mailing Address - Phone:866-681-0736
Mailing Address - Fax:
Practice Address - Street 1:969 PLUMAS ST STE 116
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4011
Practice Address - Country:US
Practice Address - Phone:530-749-3585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8287207V00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOAX82870Medicaid
CAI26874Medicare UPIN
CAI26874Medicare ID - Type UnspecifiedMEDICARE