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Individual

SUNNIYA KHANUM BASRAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 736-4423

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A14608
CA
208M00000X
Hospitalist Physician
Primary
20A14608
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
956000927
CA
Enumeration date
05/06/2015
Last updated
04/28/2024
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