Sundaresan, Mythili

Sundaresan, Mythili is an sole proprietor health care provider with primary practice located at 231 W Noble Ave , Visalia CA 93277-2631. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Sundaresan, Mythili can be contacted via phone (559) 635-7100.

Contact Information

Primary practice address
231 W Noble Ave Visalia CA 93277-2631
Fax: (559) 635-7104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A403750 California

Profile Details

NPI number 1841278983
LBN Legal business name Sundaresan, Mythili
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated May 6th, 2011 - 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 1841278983 NPPES
California MEDICAID 00A403750

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