Provider Demographics
NPI:1992142384
Name:PENDHARKAR, ARJUN VIVEK (MD)
Entity type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:VIVEK
Last Name:PENDHARKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MAPLE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2057
Mailing Address - Country:US
Mailing Address - Phone:650-299-2294
Mailing Address - Fax:
Practice Address - Street 1:905 MAPLE ST FL 3
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2057
Practice Address - Country:US
Practice Address - Phone:650-299-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-27
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137709207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery