Individual
PRACHI SANJEEV NENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 TROUSDALE DR STE 116118, BURLINGAME, CA 94010-4506
(650) 777-4400
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 777-4400
(650) 777-4405
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A154558
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PN3232267556
—
CA
Enumeration date
04/01/2016
Last updated
07/15/2022
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