Provider Demographics
NPI:1801155387
Name:AKKAD, SAYANTA (MD)
Entity type:Individual
Prefix:
First Name:SAYANTA
Middle Name:
Last Name:AKKAD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SAYANTA
Other - Middle Name:
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3885 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3840
Mailing Address - Country:US
Mailing Address - Phone:415-529-4522
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:590 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2611
Practice Address - Country:US
Practice Address - Phone:415-529-4522
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA126314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program