Provider Demographics
NPI:1588828537
Name:DANDU, MALINI (MD)
Entity Type:Individual
Prefix:DR
First Name:MALINI
Middle Name:
Last Name:DANDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MALINI
Other - Middle Name:
Other - Last Name:DANDU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6141 RUNNING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-2246
Mailing Address - Country:US
Mailing Address - Phone:669-282-7620
Mailing Address - Fax:760-956-4156
Practice Address - Street 1:650 5TH ST STE 405
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1541
Practice Address - Country:US
Practice Address - Phone:888-713-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39126207Q00000X
CAA109876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1588828537OtherRAILROAD MEDICARE
IA1588828537Medicare NSC