DR. SUJATHA PATHI (NPI# 1639353279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639353279 |
| Entity Type | Individual |
| Full Name | DR. SUJATHA PATHI |
| Credential | M.D. |
| Practice Address |
100a Drakes Landing Rd Ste 225 Greenbrae CA 94904-3119 |
| Mailing Address |
1350 S. Eliseo Drive Suite 200 Greenbrae CA 94904 |
| Practice Telephone | 4154617800 |
| Mailing Telephone | 4159255000 |
| Mailing Fax Number | 4159255050 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | A95639 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
A95639 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
100A DRAKES LANDING RD STE 225 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407203599 | Amanda Marlene Deson | Obstetrics & Gynecology | 100a Drakes Landing Rd Ste 225, Greenbrae, CA 94904-3119 | 2016-05-18 |
| 1922242858 | Alexis April Cardellini | Obstetrics & Gynecology | 100a Drakes Landing Rd Ste 225, Greenbrae, CA 94904-3119 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503618 | Women's Center for Pelvic Wellness | Obstetrics & Gynecology | 50 Alessandro Pl Ste 420, Pasadena, CA 91105-3173 | 2018-10-11 |
| 1861865479 | Pacific Gynecology Surgical Group Inc | Obstetrics & Gynecology | 2100 Webster St Ste 518, San Francisco, CA 94115-2382 | 2015-11-04 |
| 1003230673 | Gail Hebel | Obstetrics & Gynecology | 1024 Bayside Dr, Newport Beach, CA 92660-7462 | 2014-02-18 |
| 1265708655 | Aldene Zeno | Obstetrics & Gynecology | 1516 San Pablo Street 3rd Floor, Los Angeles, CA 90089-0121 | 2012-03-29 |
| 1891081253 | Soorena Fatehchehr | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2011-06-23 |
| 1740509728 | Zaid Chaudhry | Obstetrics & Gynecology | 1135 S Sunset Ave Ste 408, West Covina, CA 91790-3964 | 2010-05-31 |
| 1578716304 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave Ste 370, Modesto, CA 95350 | 2008-10-24 |
| 1891942512 | Christina Liao | Obstetrics & Gynecology | 1000 W Carson St # 489, Torrance, CA 90502-2004 | 2008-08-25 |
| 1124280581 | Benjamin J. Steinberg | Obstetrics & Gynecology | 7050 N Recreation Ave Ste 105, Fresno, CA 93720-8001 | 2008-06-27 |
| 1033266879 | Mariann Alperin | Obstetrics & Gynecology | 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.