Healthcare Provider Details

I. General information

NPI: 1659495604
Provider Name (Legal Business Name): SANHYD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 CALLAN AVE
SAN LEANDRO CA
94577-4610
US

IV. Provider business mailing address

524 CALLAN AVE
SAN LEANDRO CA
94577-4610
US

V. Phone/Fax

Practice location:
  • Phone: 510-352-3402
  • Fax: 510-352-8530
Mailing address:
  • Phone: 510-352-3402
  • Fax: 510-352-8530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number020000051
License Number StateCA

VIII. Authorized Official

Name: MR. PRATAP PODDATOORI
Title or Position: PRESIDENT
Credential:
Phone: 510-677-3566