Ivo Novita Sah Bandar, MD
Pathology, Hematology in San Francisco, CA. Individual provider (NPI-1).
NPI number1205415239
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1205415239
- Entity type
- Individual (NPI-1)
- Name
- Ivo Novita Sah Bandar
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2021
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZH0000X | Pathology, Hematology | A207091 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | A207091 | CA |
Practice location
185 Berry St Ste 290San Francisco, CA 94107-1773
Phone 415-353-1667
Mailing address
1330 1st Ave Apt 427New York, NY 10021-4751
Phone 808-546-9234
Other practice locations
1414 York Ave
New York, NY 10021-3129
New York, NY 10021-3129
Phone 212-746-5454
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