Provider Demographics
NPI:1841355591
Name:SAWANT, VEENA (CCC-A)
Entity type:Individual
Prefix:MS
First Name:VEENA
Middle Name:
Last Name:SAWANT
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:MS
Other - First Name:VEENA
Other - Middle Name:
Other - Last Name:PATWARDHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:2894 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5224
Mailing Address - Country:US
Mailing Address - Phone:408-553-6900
Mailing Address - Fax:
Practice Address - Street 1:280 MAIN ST STE 140
Practice Address - Street 2:STE 140
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2920
Practice Address - Country:US
Practice Address - Phone:603-594-3025
Practice Address - Fax:978-256-1835
Is Sole Proprietor?:No
Enumeration Date:2006-12-23
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA491237600000X
CAAU3431231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA40154OtherHARVARD PILGRIM
NH30433467Medicaid
NHP00222721OtherRAILROAD MEDICARE
NHPA043564Medicare ID - Type Unspecified