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NPI Code Detail

MEDICARE: SUNAINA MAIRA ED.D.

MEDICARE: SUNAINA MAIRA ED.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
1101Y00000XCounselor
2104100000XSocial WorkerASW131230CA

General Provider Information

NPI Number : 1184496812
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNAINA MAIRA ED.D.
Provider Business Mailing Address
First Line : 2526 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94704-2607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2526 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94704-2607
Country : US
Telephone Number : 510-575-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2023
Last Update Date : 07/14/2025

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Directions to “ SUNAINA MAIRA ED.D.” Practice Location

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