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NPI Code Detail

MEDICARE: PADMINI NAGARAJ LMFT

MEDICARE: PADMINI NAGARAJ LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist104775CA

General Provider Information

NPI Number : 1295174084
Entity Type Code : Individual
Provider Name (Legal Business Name) : PADMINI NAGARAJ LMFT
Provider Business Mailing Address
First Line : PO BOX 20472
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-8472
Country : US
Telephone Number : 510-306-5770
Fax Number :
Provider Business Practice Location Address
First Line : 1760 THE ALAMEDA STE 100
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1728
Country : US
Telephone Number : 510-306-5770
Fax Number : 510-306-5770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2013
Last Update Date : 12/09/2021

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Directions to “ PADMINI NAGARAJ LMFT” Practice Location

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