Individual provider · NPI-1

Shiba Bandeeba

Peer Specialist · San Francisco, CA

NPI number1295685758
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1295685758
Entity type
Individual (NPI-1)
Name
Shiba Bandeeba
Sex
Female
Sole proprietor
No
Enumeration date
Feb 2, 2026
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistMPSS-BGVKYLCAYes

Practice location

45 Onondaga Ave
San Francisco, CA 94112-3212

Phone 415-360-2388

Mailing address

45 Onondaga Ave
San Francisco, CA 94112-3212

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