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Organization
SVETLANA DANI MD INC
Active
Organization
SVETLANA DANI MD INC
Active
Other names
Skyline Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA DANI MD (OWNER)
(408) 559-3889
Entity
Organization
Contact information
Practice address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-3888
Mailing address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-3889
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
NULL
2080S0010X
Pediatric Sports Medicine Physician
—
—
Other
Enumeration date
07/13/2020
Last updated
11/25/2020
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