=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437127560
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUMBUL N BEG M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2006
-----------------------------------------------------
Last Update Date | 12/01/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1838 EL CAMINO REAL
-----------------------------------------------------
City | BURLINGAME
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94010-3126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-504-9581
-----------------------------------------------------
Fax | 312-586-8014
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1534 PLAZA LN # 306
-----------------------------------------------------
City | BURLINGAME
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94010-3204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-248-7065
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | A78806
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------