Provider Demographics
NPI:1558964767
Name:PYDAH, SUNAYANA CHOPRA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SUNAYANA
Middle Name:CHOPRA
Last Name:PYDAH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SUNAYANA
Other - Middle Name:
Other - Last Name:CHOPRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1355 EL CAMINO REAL UNIT 704
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2133
Mailing Address - Country:US
Mailing Address - Phone:409-771-8952
Mailing Address - Fax:
Practice Address - Street 1:751 S BASCOM AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2604
Practice Address - Country:US
Practice Address - Phone:408-885-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA58501363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant