| Shamala Md Physician Professional Corporation | |
|
555 Knowles Drive Suite 109 Los Gatos CA 95032 | |
| (408) 370-0200 | |
| (408) 370-0202 |
| Full Name | Shamala Md Physician Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Knowles Drive, Los Gatos, California |
| Authorized Official Name and Position | Shamala Mohanasundaram (M.D.) |
| Authorized Official Contact | 4083700200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamala Md Physician Professional Corporation 555 Knowles Drive Suite 109 Los Gatos CA 95032 Ph: (408) 370-0200 | Shamala Md Physician Professional Corporation 555 Knowles Drive Suite 109 Los Gatos CA 95032 Ph: (408) 370-0200 |
| NPI Number | 1568752483 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 09/30/2015 |
| Medicare PECOS PAC ID | 6901081660 |
|---|---|
| Medicare Enrollment ID | O20110425000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568752483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A112811 (California) | Primary |
| Provider Name | Shamala Mohanasundaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063608743 PECOS PAC ID: 6800071564 Enrollment ID: I20110425000451 |
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