Healthcare Provider Details

I. General information

NPI: 1801021357
Provider Name (Legal Business Name): SANDHYA ANN DUBEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 FAIRMONT DR
SAN LEANDRO CA
94578-1005
US

IV. Provider business mailing address

2500 FAIRMONT DR
SAN LEANDRO CA
94578-1005
US

V. Phone/Fax

Practice location:
  • Phone: 510-667-3000
  • Fax:
Mailing address:
  • Phone: 510-667-3007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA119925
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: