Organization
SOUTH BAY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANNA L KRISHNAMSHETTY M.D. (PRESIDENT)
(408) 258-4244
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE, SUITE # 435, SAN JOSE, CA 95116-1500
(408) 258-4244
(408) 258-3338
Mailing address
200 JOSE FIGUERES AVE, SUITE # 435, SAN JOSE, CA 95116-1500
(408) 258-4244
(408) 258-3338
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A63379
CA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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