Healthcare Provider Details

I. General information

NPI: 1114354271
Provider Name (Legal Business Name): SYNERGY MEDICAL SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 07/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37317 FREMONT BLVD
FREMONT CA
94536-3702
US

IV. Provider business mailing address

37317 FREMONT BLVD
FREMONT CA
94536-3702
US

V. Phone/Fax

Practice location:
  • Phone: 510-896-8699
  • Fax: 510-896-8445
Mailing address:
  • Phone: 510-896-8699
  • Fax: 510-896-8445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA37410
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberA37410
License Number StateCA

VIII. Authorized Official

Name: DR. RISHI SHAHANI
Title or Position: OWNER
Credential:
Phone: 510-378-9669