Provider Demographics
NPI:1174397657
Name:DANDEKAR, SARALA (MA MENTAL HEALTH)
Entity type:Individual
Prefix:
First Name:SARALA
Middle Name:
Last Name:DANDEKAR
Suffix:
Gender:F
Credentials:MA MENTAL HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3579 PIIKEA PL
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-9551
Mailing Address - Country:US
Mailing Address - Phone:808-269-3499
Mailing Address - Fax:
Practice Address - Street 1:3620 BALDWIN AVE STE 207
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-9500
Practice Address - Country:US
Practice Address - Phone:808-269-3499
Practice Address - Fax:808-470-7126
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health