Individual
DR. SUKESH SUKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 VALLEY CHILDRENS PL # GE10, MADERA, CA 93636
(559) 353-6450
(559) 353-7214
Mailing address
9300 VALLEY CHILDRENS PL # GE10, MADERA, CA 93636-8761
(559) 353-6450
(559) 353-7214
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
A103325
CA
2080P0216X
Pediatric Rheumatology Physician
E-8979
AR
2080P0216X
Pediatric Rheumatology Physician
ME109540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003600600
—
FL
Enumeration date
12/09/2010
Last updated
08/26/2019
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