Provider Demographics
NPI:1558917146
Name:SHIBANI RAJADHYKSHA DDS INC.
Entity Type:Organization
Organization Name:SHIBANI RAJADHYKSHA DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIBANI
Authorized Official - Middle Name:SUNIL
Authorized Official - Last Name:RAJADHYKSHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-775-1182
Mailing Address - Street 1:681 TASMAN DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-1707
Mailing Address - Country:US
Mailing Address - Phone:858-775-1182
Mailing Address - Fax:
Practice Address - Street 1:681 TASMAN DR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94089-1707
Practice Address - Country:US
Practice Address - Phone:408-505-1777
Practice Address - Fax:699-600-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental