Healthcare Provider Details

I. General information

NPI: 1184651234
Provider Name (Legal Business Name): KALPANA SATHYANARAYANA RAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUTTER SOLANO 300 HOSPITAL DRIVE
VALLEJO CA
94589
US

IV. Provider business mailing address

1966 TICE VALLEY BLVD # 178
WALNUT CREEK CA
94595-2203
US

V. Phone/Fax

Practice location:
  • Phone: 707-554-4444
  • Fax:
Mailing address:
  • Phone: 925-947-2863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberA82932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: