Shiwaji Dattatray Pawar
M.D. | Pediatrics | Male
Shiwaji Dattatray Pawar, M.D. is a Folsom, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shiwaji Dattatray Pawar is
2155 Iron Point Rd, Folsom, California - 95630-8707. He can be contacted on phone at
916-817-5438 and fax number 916-817-5415.
Shiwaji Dattatray Pawar is a sole proprietor of his business.
NPI number (Unique professional ID) for Shiwaji Dattatray Pawar is
1225074826 which was assigned by NPPES on 21 Jun, 2006 and it was last updated on 15 Dec, 2021.
Shiwaji Dattatray Pawar license number is
4301072268 for Pediatrics (208000000X) in Michigan.
Shiwaji Dattatray Pawar is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shiwaji Dattatray Pawar basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shiwaji Dattatray Pawar |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
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Business Address:
Shiwaji Dattatray Pawar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2155 Iron Point Rd
Folsom, CA, 95630-8707
United States |
|---|
| Phone Number : | 916-817-5438 |
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| Fax Number : | 916-817-5415 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225074826 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jun, 2006 |
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| Last Updated On : | 15 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shiwaji Dattatray Pawar are as mentioned. Primary taxonomy code for Shiwaji Dattatray Pawar, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301072268 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Shiwaji Dattatray Pawar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200000021644 | Other | MI | PHP |
| 4711870-10 | MEDICAID | MI | |
| 1014600 | Other | MI | MCLAREN HEALTH PLAN |
| 4306770-10 | MEDICAID | MI | |
| 1006816 | Other | MI | MCLAREN HEALTH PLAN |
| 0990418 | Other | MI | HEALTHPLUS COMMERCIAL |
| 1225074826 | MEDICAID | MI | |
| 3502900692 | Other | MI | BCBSM |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 2155 IRON POINT RD,
FOLSOM, CA, 95630-8707
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2155 Iron Point Rd
Folsom, CA, 95630-8707
United States |
|---|
| Phone Number : | 916-817-5438 |
|---|
| Fax Number : | 916-817-5415 |
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Business Location:
Patients can refer following map for directions to
Shiwaji Dattatray Pawar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.