Amatya, Sudha
Amatya, Sudha is an individual health care provider with primary practice located at 5454 El Cajon Blvd , San Diego CA 92115-3621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Amatya, Sudha can be contacted via phone (619) 515-2400.Contact Information
Primary practice address
5454 El Cajon Blvd
San Diego CA 92115-3621
Phone: (619) 515-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35087784 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A51563 | California |
Profile Details
| NPI number | 1790830511 |
|---|---|
| LBN Legal business name | Amatya, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Aug 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790830511 | NPPES |
| Ohio | MEDICAID | 2657987 |
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