Healthcare Provider Details

I. General information

NPI: 1912665027
Provider Name (Legal Business Name): VASU TORAM PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19155 CAMINO BARCO
SARATOGA CA
95070-5617
US

IV. Provider business mailing address

19155 CAMINO BARCO
SARATOGA CA
95070-5617
US

V. Phone/Fax

Practice location:
  • Phone: 585-489-9720
  • Fax: 408-516-9377
Mailing address:
  • Phone: 585-489-9720
  • Fax: 408-516-9377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: SATYA TORAM
Title or Position: OWNER
Credential: MD
Phone: 585-489-9720