Healthcare Provider Details

I. General information

NPI: 1689791121
Provider Name (Legal Business Name): CHANDA KENDRA HO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 CLAY ST 3RD FLOOR
SAN FRANCISCO CA
94115-1932
US

IV. Provider business mailing address

2340 CLAY ST 3RD FLOOR
SAN FRANCISCO CA
94115-1932
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-1020
  • Fax:
Mailing address:
  • Phone: 415-600-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberA105706
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number885530
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number885530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: