Individual provider · Type 1 NPI

Dhiraj Janardhana Pangal

Student in an Organized Health Care Education/Training Program · Palo Alto, CA

NPI number 1114654910 Active

Practice location

453 Quarry Rd
Palo Alto, CA 94304-1419

Call (650) 723-5575 Map

Mailing address

1975 Zonal Ave
Los Angeles, CA 90089-5601

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114654910

Dhiraj Janardhana Pangal's National Provider Identifier is 1114654910, issued on Aug 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palo Alto, CA. The record was last updated on Aug 11, 2026.