Provider Demographics
NPI:1508901539
Name:MAMA BABY OB-GYN INC.
Entity Type:Organization
Organization Name:MAMA BABY OB-GYN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VISHVJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:NALWA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-271-6500
Mailing Address - Street 1:105 N BASCOM AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1811
Mailing Address - Country:US
Mailing Address - Phone:408-271-6500
Mailing Address - Fax:408-271-8828
Practice Address - Street 1:105 N BASCOM AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1811
Practice Address - Country:US
Practice Address - Phone:408-271-6500
Practice Address - Fax:408-271-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86578207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty