Provider Demographics
NPI:1518378827
Name:SUCCESSHEALTHNET INC
Entity Type:Organization
Organization Name:SUCCESSHEALTHNET INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:BALGOVIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-303-6420
Mailing Address - Street 1:830 STEWART DR
Mailing Address - Street 2:SUITE 139
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4513
Mailing Address - Country:US
Mailing Address - Phone:510-303-6420
Mailing Address - Fax:
Practice Address - Street 1:830 STEWART DR
Practice Address - Street 2:SUITE 139
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4513
Practice Address - Country:US
Practice Address - Phone:510-303-6420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty