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Shivani Phanse DPM Inc

NPI 1609674639ActiveOrganization· Podiatrist· San Diego, CA

Podiatrist in San Diego, California, registered in NPPES in March 2025. The authorized official on file is Shivani Phanse, DPM, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1609674639
StatusActive
Entity typeOrganization
NPI issuedMar 5, 2025
Last updated in NPPESMar 19, 2025
Certified by providerMar 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

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