Healthcare Provider Details

I. General information

NPI: 1801717111
Provider Name (Legal Business Name): COLIGOMED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 N WOLFE RD
SUNNYVALE CA
94085-3869
US

IV. Provider business mailing address

440 N WOLFE RD
SUNNYVALE CA
94085-3869
US

V. Phone/Fax

Practice location:
  • Phone: 408-835-7454
  • Fax:
Mailing address:
  • Phone: 408-835-7454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SABHAPATHI NAIDU ANNAMANENI
Title or Position: FOUNDER AND CEO
Credential: MS CS
Phone: 408-835-7454