Individual
CHANDRASHEKAR VITTALBABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1054 CARSON DR, SUNNYVALE, CA 94086-5806
(408) 522-8267
Mailing address
2935 NEW JERSEY AVE, SAN JOSE, CA 95124-1529
(408) 600-4489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27712
CA
Other
Enumeration date
07/24/2018
Last updated
09/08/2018
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