Healthcare Provider Details

I. General information

NPI: 1861048209
Provider Name (Legal Business Name): SUDHA KARUPAIAH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 E SAINT JOHN ST
SAN JOSE CA
95112-3413
US

IV. Provider business mailing address

560 E SAINT JOHN ST
SAN JOSE CA
95112-3413
US

V. Phone/Fax

Practice location:
  • Phone: 408-279-1400
  • Fax: 408-279-3216
Mailing address:
  • Phone: 408-279-1400
  • Fax: 408-279-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SUDHA KARUPAIAH
Title or Position: OWNER
Credential: MD
Phone: 408-279-1400