Patel-Venketsamy, Nisha Kantidev

Patel-Venketsamy, Nisha Kantidev is an individual health care provider with primary practice located at 4626 Willow Rd Suite 200, Pleasanton CA 94588-8517. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Patel-Venketsamy, Nisha Kantidev can be contacted via phone (925) 463-0470.

Contact Information

Primary practice address
4626 Willow Rd Suite 200 Pleasanton CA 94588-8517
Phone: (925) 463-0470
Fax: (925) 463-0473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2828 California

Profile Details

NPI number 1376836155
LBN Legal business name Patel-Venketsamy, Nisha Kantidev
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Jan 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376836155 NPPES
California Other OT2828 MEDICAL LICENSE
California Other P01003597 MEDICAL LICENSE

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