Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 131851 | CA |
Y | 207V00000X | Obstetrician & Gynecologist | A131851 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A131851 | CA |
NPI | 1063855666 |
---|---|
Provider Name | Dr. Sanaa Hasan Suharwardy |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2013 |
Last Update Date | 01/11/2021 |