Provider Demographics
NPI:1699305805
Name:RAMDEO, SANJIV
Entity type:Individual
Prefix:
First Name:SANJIV
Middle Name:
Last Name:RAMDEO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 SANTA SUSANA ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-3470
Mailing Address - Country:US
Mailing Address - Phone:650-799-8525
Mailing Address - Fax:
Practice Address - Street 1:710 SANTA SUSANA ST
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3470
Practice Address - Country:US
Practice Address - Phone:650-799-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor