Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A111532 | CA |
NPI | 1063672244 |
---|---|
Provider Name | Satya Chelamkuri |
First Address | Mountain View, CA 94040 |
Second Address | Mountain View, CA 94040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 20/10/2017 |