Provider Demographics
NPI:1437953866
Name:KASHWAL, MONGDA MATWING
Entity type:Individual
Prefix:
First Name:MONGDA
Middle Name:MATWING
Last Name:KASHWAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 1ST NORTH ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13208-1616
Mailing Address - Country:US
Mailing Address - Phone:315-802-8787
Mailing Address - Fax:
Practice Address - Street 1:1306 1ST NORTH ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13208-1616
Practice Address - Country:US
Practice Address - Phone:315-802-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi