Kassuba, Sonja
Kassuba, Sonja is an individual health care provider with primary practice located at 350 Hawthorne Ave Rm 2346 , Oakland CA 94609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Kassuba, Sonja can be contacted via phone (510) 869-8373.Contact Information
Primary practice address
350 Hawthorne Ave Rm 2346
Oakland CA 94609
Phone: (510) 869-8373
Fax: (510) 869-8375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C51995 | California |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | C51995 | California |
Profile Details
NPI number | 1801844881 |
---|---|
LBN Legal business name | Kassuba, Sonja |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Oct 22nd, 2019 - about 5 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 | 1801844881 | NPPES |
California | Other | C51995 | STATE MEDICAL LICENSE |
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