Provider Demographics
NPI:1275397143
Name:GIOVANNI DANDEKAR FLOCKHEALTH PC
Entity Type:Organization
Organization Name:GIOVANNI DANDEKAR FLOCKHEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:STECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-462-8418
Mailing Address - Street 1:2108 N ST # 7650
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5712
Mailing Address - Country:US
Mailing Address - Phone:510-224-3892
Mailing Address - Fax:
Practice Address - Street 1:1007 GENERAL KENNEDY AVE STE 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94129-1405
Practice Address - Country:US
Practice Address - Phone:510-224-3892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty