NPIMap

Organization Active NPI

Mukti Medical

  • Anesthesiology Physician
  • Cupertino, CA
National Provider Identifier
1558646398
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MUKTI MEDICAL
Practice address
1157 Scotland Dr
Cupertino, CA 95014-5061
Phone
(415) 506-7284
NPI assigned
Oct 12, 2011
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ravi Pankhaniya, MDNPI 1992902670
Title
President
Phone
(415) 506-7284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1157 Scotland Dr
Cupertino, CA 95014-5061

Mailing address

1157 Scotland Dr
Cupertino, CA 95014-5061

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1558646398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 SCOTLAND DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 SCOTLAND DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145061",
            "telephone_number": "415-506-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKTI MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "PANKHANIYA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-506-7284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.