Provider Demographics
NPI:1184264442
Name:KALGUTKAR, SHRADDHA P
Entity type:Individual
Prefix:
First Name:SHRADDHA
Middle Name:P
Last Name:KALGUTKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WINDSOR GARDEN CENTER OF HAYWARD
Mailing Address - Street 2:1628 B ST, HAYWARD, CA 94541
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WINDSOR GARDEN CENTER OF HAYWARD
Practice Address - Street 2:1628 B ST, HAYWARD, CA 94541
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541
Practice Address - Country:US
Practice Address - Phone:510-582-4636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist