Provider Demographics
NPI:1851319115
Name:PATIL, SARIKA SADANAND (AUD)
Entity Type:Individual
Prefix:
First Name:SARIKA
Middle Name:SADANAND
Last Name:PATIL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 PAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4054
Mailing Address - Country:US
Mailing Address - Phone:408-540-5400
Mailing Address - Fax:408-540-5411
Practice Address - Street 1:3071 PAYNE AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4054
Practice Address - Country:US
Practice Address - Phone:408-540-5400
Practice Address - Fax:408-540-5411
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA4176237600000X
CAAU2289231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter