Healthcare Provider Details

I. General information

NPI: 1306037601
Provider Name (Legal Business Name): HIMA BINDU SATYAVOLU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BON AIR RD RM. 5216
GREENBRAE CA
94904-1702
US

IV. Provider business mailing address

250 BON AIR RD RM. 5216
GREENBRAE CA
94904-1702
US

V. Phone/Fax

Practice location:
  • Phone: 415-925-7545
  • Fax:
Mailing address:
  • Phone: 415-925-7545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA100225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: