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NPI Code Detail

MEDICARE: DR. SONUSHYA MATHAI M.D.

MEDICARE: DR. SONUSHYA MATHAI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA157670CA

General Provider Information

NPI Number : 1164886537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONUSHYA MATHAI M.D.
Provider Business Mailing Address
First Line : PO BOX 3547
Second Line :
City : WESTLAKE VLG
State : CA
Zip : 91359-0547
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 NAPA VALLEJO HWY
Second Line :
City : NAPA
State : CA
Zip : 94558-6234
Country : US
Telephone Number : 562-888-4768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 01/12/2022

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