Healthcare Provider Details

I. General information

NPI: 1053220467
Provider Name (Legal Business Name): AMADA MORGAN HILL CA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

15105 CONCORD CIR STE 200D
MORGAN HILL CA
95037-5490
US

IV. Provider business mailing address

15105 CONCORD CIR STE 200D
MORGAN HILL CA
95037-5490
US

V. Phone/Fax

Practice location:
  • Phone: 408-716-8855
  • Fax:
Mailing address:
  • Phone: 408-716-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAJI PAROL
Title or Position: CEO
Credential:
Phone: 949-500-4623