Healthcare Provider Details

I. General information

NPI: 1740675115
Provider Name (Legal Business Name): RACHITA NEHA PALLAVI NAVARA MD, FACC, FHRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 SULLIVAN AVE STE 520
DALY CITY CA
94015-2204
US

IV. Provider business mailing address

PO BOX 771
MANTECA CA
95336-1133
US

V. Phone/Fax

Practice location:
  • Phone: 415-413-7225
  • Fax: 678-737-1718
Mailing address:
  • Phone: 415-413-7225
  • Fax: 678-737-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA143873
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA143873
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberA143873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: