Basic Information
| Provider Information | |||||||||
| NPI: | 1124105481 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TANDON | ||||||||
| FirstName: | VINITA | ||||||||
| MiddleName: | DHIR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2204 GRANT RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | MOUNTAIN VIEW | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940403855 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6509678841 | ||||||||
| FaxNumber: | 6509678812 | ||||||||
| Practice Location | |||||||||
| Address1: | 2204 GRANT RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | MOUNTAIN VIEW | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940403855 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6509678841 | ||||||||
| FaxNumber: | 6509678812 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 05/24/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | A79669 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.