Provider Information for 1235486044
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NITHYA NARAYAN
Sex: Female
NPI: 1235486044
Last Updated: 2022-01-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1235486044 | ||||||||||||||
| Enumeration Date | 2012-08-10 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 39420 LIBERTY ST SUITE.140 FREMONT, CA 94538-2200 United States Phone: 510-745-9151 | Fax:510-745-9152 | ||||||||||||||
| Primary Practice Address | 39420 LIBERTY ST SUITE 140 FREMONT, CA 94538-2200 United States Phone: 510-745-9151 | Fax:510-745-9152 | ||||||||||||||
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