Healthcare Provider Details

I. General information

NPI: 1477948313
Provider Name (Legal Business Name): SARAH KALLIATH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH KRISHNAN DO

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 OYSTER POINT BLVD STE 300
SOUTH SAN FRANCISCO CA
94080-1974
US

IV. Provider business mailing address

365 OYSTER POINT BLVD STE 300-3B
SOUTH SAN FRANCISCO CA
94080-1974
US

V. Phone/Fax

Practice location:
  • Phone: 844-352-6567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19154
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number009195
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: