Individual
SUMAN S. KUPPAHALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15215 NATIONAL AVE STE 105, LOS GATOS, CA 95032-2425
(408) 358-3458
(408) 356-6191
Mailing address
15215 NATIONAL AVE STE 105, LOS GATOS, CA 95032-2425
(408) 358-3458
(408) 356-6191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A72494
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A72494
CA
Other
Enumeration date
10/27/2006
Last updated
02/06/2025
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