Provider Demographics
NPI:1508050790
Name:PALNITKAR, RACHANA MADHUSUDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHANA
Middle Name:MADHUSUDAN
Last Name:PALNITKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14901 NATIONAL AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2637
Mailing Address - Country:US
Mailing Address - Phone:408-374-5340
Mailing Address - Fax:408-374-8922
Practice Address - Street 1:14901 NATIONAL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2637
Practice Address - Country:US
Practice Address - Phone:408-374-5340
Practice Address - Fax:408-374-8922
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2024-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA111367207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADL802AOtherMEDICARE PTAN