Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A067023 | CA |
N | 111NI0900X | Internist | A067023 | CA |
N | 208000000X | Pediatrician | A67023 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | A067023 | CA |
NPI | 1457462426 |
---|---|
Provider Name | Dr. Srinath Sanda |
First Address | San Francisco, CA 94143-3901 |
Second Address | San Francisco, CA 94158-2334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 18/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A670230 | (05) | CA |
8495061 | (05) | WA |
H13188 | (02) | CA |