Healthcare Provider Details

I. General information

NPI: 1841355591
Provider Name (Legal Business Name): VEENA SAWANT CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VEENA PATWARDHAN AU.D.

II. Dates (important events)

Enumeration Date: 12/23/2006
Last Update Date: 01/11/2022
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MAIN ST STE 140 STE 140
NASHUA NH
03060-2920
US

IV. Provider business mailing address

2894 HOMESTEAD RD
SANTA CLARA CA
95051-5224
US

V. Phone/Fax

Practice location:
  • Phone: 603-594-3025
  • Fax: 978-256-1835
Mailing address:
  • Phone: 408-553-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA491
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: