Individual
MARINA SOOSAIPILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3333
(916) 733-5385
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3333
(916) 733-5385
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A39673
CA
2085R0202X
Diagnostic Radiology Physician
E7512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342628
PHCS
CA
01
—
059196
HEALTH NET
CA
01
—
1744051
GREAT WEST
CA
01
—
1950239
FIRST HEALTH
CA
01
—
2008968
UNITED HEALTHCARE
CA
01
—
248480
INTERPLAN
CA
01
—
3044732
CIGNA
CA
01
—
7686252
AETNA
CA
01
—
90133715
PACIFICARE
CA
01
—
A39673
BLUE CROSS
CA
01
—
MCMG172000
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
08/16/2006
Last updated
12/31/2009
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