| Premier Independence | |
|
340 Lorton Ave Ste 210 Burlingame CA 94010-4126 | |
| (773) 960-0293 | |
| Not Available |
| Full Name | Premier Independence |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 340 Lorton Ave Ste 210, Burlingame, California |
| Authorized Official Name and Position | Sridhar Prathikanti (OWNER) |
| Authorized Official Contact | 7739600293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Independence 340 Lorton Ave Ste 210 Burlingame CA 94010-4126 Ph: (773) 960-0293 | Premier Independence 340 Lorton Ave Ste 210 Burlingame CA 94010-4126 Ph: (773) 960-0293 |
| NPI Number | 1285421115 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285421115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
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