Individual
DR. JAYA PRAKASH SUGUNARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
275 THE CROSSROADS BLVD STE A, CARMEL, CA 93923-8685
(831) 718-9701
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 649-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C169256
CA
207RP1001X
Pulmonary Disease Physician
Primary
C169256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52164
LICENSE
CT
Enumeration date
08/23/2010
Last updated
08/30/2022
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