Perera, Sunil Pushpakumara

Perera, Sunil Pushpakumara is an sole proprietor health care provider with primary practice located at 935 Reserve Dr , Roseville CA 95678-1340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Perera, Sunil Pushpakumara can be contacted via phone (916) 782-7758.

Contact Information

Primary practice address
935 Reserve Dr Roseville CA 95678-1340
Fax: (916) 782-7770
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A30538 California

Profile Details

NPI number 1417039371
LBN Legal business name Perera, Sunil Pushpakumara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417039371 NPPES
California MEDICAID ZZZ7673Z

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