Healthcare Provider Details

I. General information

NPI: 1518642677
Provider Name (Legal Business Name): SANJANA KAMAT MBBS/MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PARNASSUS AVE
SAN FRANCISCO CA
94143-2203
US

IV. Provider business mailing address

358 FREDERICK ST APT 2
SAN FRANCISCO CA
94117-3943
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-5575
  • Fax: 415-476-3381
Mailing address:
  • Phone: 412-857-6870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA20695
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT227719
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: