Provider Demographics
NPI:1013453398
Name:RAISINGHANI, ALKA
Entity Type:Individual
Prefix:
First Name:ALKA
Middle Name:
Last Name:RAISINGHANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALKA
Other - Middle Name:
Other - Last Name:SABHNANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:338 COUNTRYBROOK LOOP
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4484
Mailing Address - Country:US
Mailing Address - Phone:925-216-1548
Mailing Address - Fax:
Practice Address - Street 1:25919 GADING RD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-2725
Practice Address - Country:US
Practice Address - Phone:510-782-8424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT30086225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist