Sumaylo, Aldous D

Sumaylo, Aldous D is an sole proprietor health care provider with primary practice located at 701 E El Camino Real , Mountain View CA 94040-2833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sumaylo, Aldous D can be contacted via phone (650) 934-7956.

Contact Information

Primary practice address
701 E El Camino Real Mountain View CA 94040-2833
Phone: (650) 934-7956
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L8522 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C54055 California

Profile Details

NPI number 1174599195
LBN Legal business name Sumaylo, Aldous D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Jan 6th, 2012 - about 13 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 1174599195 NPPES
Texas Other 8K9075 BCBS

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