Individual
ALDOUS D SUMAYLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7956
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C54055
CA
208000000X
Pediatrics Physician
L8522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K9075
BCBS
TX
Enumeration date
02/28/2006
Last updated
01/06/2012
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