Provider Demographics
NPI:1790246049
Name:PARAMBAN, SINDU BABU (NP)
Entity Type:Individual
Prefix:
First Name:SINDU
Middle Name:BABU
Last Name:PARAMBAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22957 STAGG ST
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-4549
Mailing Address - Country:US
Mailing Address - Phone:818-282-0868
Mailing Address - Fax:
Practice Address - Street 1:22957 STAGG ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-4549
Practice Address - Country:US
Practice Address - Phone:818-282-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010631363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner