Provider Demographics
NPI:1609489418
Name:CYRUS DADACHANJI MD INC.
Entity Type:Organization
Organization Name:CYRUS DADACHANJI MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CYRUS
Authorized Official - Middle Name:K
Authorized Official - Last Name:DADACHANJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-473-6154
Mailing Address - Street 1:34762 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-8419
Mailing Address - Country:US
Mailing Address - Phone:951-473-6154
Mailing Address - Fax:
Practice Address - Street 1:34762 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-8419
Practice Address - Country:US
Practice Address - Phone:951-473-6154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty