Healthcare Provider Details

I. General information

NPI: 1891632048
Provider Name (Legal Business Name): THYMOS HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

679 S ELISEO DR
GREENBRAE CA
94904-2220
US

IV. Provider business mailing address

679 S ELISEO DR
GREENBRAE CA
94904-2220
US

V. Phone/Fax

Practice location:
  • Phone: 415-379-0745
  • Fax: 771-218-1773
Mailing address:
  • Phone: 415-379-0745
  • Fax: 771-218-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAYAL NILESH BHANDARI
Title or Position: CEO
Credential: MD
Phone: 508-641-8706