Provider Demographics
NPI:1407284706
Name:SPED K12 INC
Entity Type:Organization
Organization Name:SPED K12 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PRADEESH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-666-3743
Mailing Address - Street 1:1290 KIFER RD
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5322
Mailing Address - Country:US
Mailing Address - Phone:800-982-9430
Mailing Address - Fax:
Practice Address - Street 1:1290 KIFER RD
Practice Address - Street 2:SUITE # 301
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5322
Practice Address - Country:US
Practice Address - Phone:800-982-9430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment