Individual
DEVI ANANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 CAMPUS DR, DALY CITY, CA 94015-4900
(650) 652-8720
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
654138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G54138
STATE LICENSE #
CA
Enumeration date
10/10/2006
Last updated
06/19/2020
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