Healthcare Provider Details

I. General information

NPI: 1588359574
Provider Name (Legal Business Name): AYUSHI ANUPBHAI MISTRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date: 11/09/2023
Reactivation Date: 12/05/2023

III. Provider practice location address

770 WELCH RD STE 435
PALO ALTO CA
94304-1511
US

IV. Provider business mailing address

770 WELCH RD STE 435
PALO ALTO CA
94304-1511
US

V. Phone/Fax

Practice location:
  • Phone: 650-721-4339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: