NPI 1982959128 · live from the CMS NPI Registry
Dhp Of Saint Rose Medical Group INC
Obstetrics & Gynecology in Hayward, CA. National Provider Identifier 1982959128, active.
NPI record
| NPI | 1982959128 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology 207V00000X |
| Practice location | 27200 Calaroga Ave, Hayward, CA 94545 |
| Practice phone | 510-264-4000 |
| Mailing address | 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919 |
| Enumerated | July 13, 2012 |
| Last updated | July 20, 2012 |
| Authorized official | Sujal Mandavia, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist | 208M00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | — |
| Obstetrics & Gynecology primary | 207V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.