Shunmugham, Shermilla

Shunmugham, Shermilla is an individual health care provider with primary practice located at 1617 N California St Ste 2B, Stockton CA 95204-6117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shunmugham, Shermilla can be contacted via phone (209) 948-4700.

Contact Information

Primary practice address
1617 N California St Ste 2B Stockton CA 95204-6117
Phone: (209) 948-4700
Fax: (209) 948-9535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A80728 California

Profile Details

NPI number 1437158706
LBN Legal business name Shunmugham, Shermilla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 7th, 2023 - about last year

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 1437158706 NPPES
California MEDICAID GR0081080
California MEDICAID 00A807280
California Other 0-545-821-1

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