Provider Demographics
NPI:1013118264
Name:CHANDER, JAYSHREE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYSHREE
Middle Name:
Last Name:CHANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:510-204-5514
Mailing Address - Fax:510-204-5515
Practice Address - Street 1:4 EMBARCADERO CTR LBBY
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-529-4566
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78537207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG78537OtherSTATE MEDICAL LICENSE
049726OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER