Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GAJAN TRISTAN MATHIVANAN, PHARM.D
ActiveDR. GAJAN TRISTAN MATHIVANAN, PHARM.D is a Pharmacist healthcare provider located in ANGELS CAMP, California. NPI 1609485044 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · ANGELS CAMP, CA
Registration Details
- NPI Number
- 1609485044
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2020 (6.0222992056977 yrs)
- Last Updated
- Jul 30, 2020
- License
-
82486 (CA)
Practice Information
- Address
-
230 S MAIN STANGELS CAMP, CA, 952229359Browse CA providers · Browse ZIP 95222
- Phone
- 2097364623
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in ANGELS CAMP, CA
| Name | Credential | NPI |
|---|---|---|
| DEAN STANLEY WESTPHALEN | R.PH. | 1144532482 |
| NATALIE TIBIO | — | 1922391838 |
| MR. MICHAEL ALLEN ZARCONE | — | 1952822264 |
| NANCY THAI | — | 1932764370 |
| WARDA NAWAZ | PHARMD, RPH | 1104454388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.