Provider Demographics
NPI:1174288179
Name:PAUL, PAYAL CHANDOK (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:PAYAL
Middle Name:CHANDOK
Last Name:PAUL
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:PAYAL
Other - Middle Name:
Other - Last Name:CHANDOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20500 TOWN CENTER LN UNIT 171
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3256
Mailing Address - Country:US
Mailing Address - Phone:408-504-0252
Mailing Address - Fax:
Practice Address - Street 1:1503 GRANT RD STE 150
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3270
Practice Address - Country:US
Practice Address - Phone:650-241-6514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95076827163W00000X
CA95012351363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse