Individual
DR. SAMUDYATHA SHIVALINGAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
582 S SUNNYVALE AVE, SUNNYVALE, CA 94086-6125
(408) 524-4116
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD23979
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A97567
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD23979
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117023
—
OR
Enumeration date
09/23/2005
Last updated
10/16/2024
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