Provider Demographics
NPI:1801287008
Name:PABAND MEDICAL CORP
Entity type:Organization
Organization Name:PABAND MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:PABAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-208-8411
Mailing Address - Street 1:5111 GARFIELD ST STE B
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-5148
Mailing Address - Country:US
Mailing Address - Phone:619-698-9375
Mailing Address - Fax:619-698-9378
Practice Address - Street 1:5111 GARFIELD ST STE B
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-5148
Practice Address - Country:US
Practice Address - Phone:619-698-9375
Practice Address - Fax:619-698-9378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
CAA120108207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty