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NPI Code Detail

MEDICARE: SATAYENDRA PRASAD

MEDICARE: SATAYENDRA PRASAD
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1295667962
Entity Type Code : Individual
Provider Name (Legal Business Name) : SATAYENDRA PRASAD
Provider Business Mailing Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 669-245-3428
Fax Number :
Provider Business Practice Location Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 669-245-3428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 06/11/2026

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Directions to “ SATAYENDRA PRASAD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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