Provider Demographics
NPI:1396882353
Name:PATEL, SADNA G
Entity type:Individual
Prefix:
First Name:SADNA
Middle Name:G
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SANA
Other - Middle Name:G
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:415 SWALLOWTAIL CT
Mailing Address - Street 2:
Mailing Address - City:BRISBANE
Mailing Address - State:CA
Mailing Address - Zip Code:94005-1256
Mailing Address - Country:US
Mailing Address - Phone:415-656-0347
Mailing Address - Fax:
Practice Address - Street 1:415 SWALLOWTAIL COURT
Practice Address - Street 2:
Practice Address - City:BRISBANE
Practice Address - State:CA
Practice Address - Zip Code:94005
Practice Address - Country:US
Practice Address - Phone:415-656-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)