Healthcare Provider Details

I. General information

NPI: 1437406295
Provider Name (Legal Business Name): SYVN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2012
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 STANYAN ST # 658
SAN FRANCISCO CA
94117-1019
US

IV. Provider business mailing address

20660 STEVENS CREEK BLVD # 386
CUPERTINO CA
95014-2120
US

V. Phone/Fax

Practice location:
  • Phone: 415-750-5762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA117244
License Number StateCA

VIII. Authorized Official

Name: NINAD KARANDIKAR
Title or Position: MD
Credential: MD
Phone: 415-750-5762