Healthcare Provider Details

I. General information

NPI: 1437508520
Provider Name (Legal Business Name): BENJAMIN RAYIKANTI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE FL 4
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

1672 PAGE ST
SAN FRANCISCO CA
94117-2020
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-7952
  • Fax: 415-353-9163
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR75697
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA154996
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: