Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A88624 | CA |
NPI | 1093872483 |
---|---|
Provider Name | Dr. Bindu Kanathezhath Sathi |
First Address | Stockton, CA 95210-3339 |
Second Address | Stockton, CA 95210-3339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 27/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A886240 | (05) | CA |