Individual
MRS. MYTHILI SUNDARESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 W NOBLE AVE, VISALIA, CA 93277-2631
(559) 635-7100
(559) 635-7104
Mailing address
PO BOX 1514, TULARE, CA 93275
(559) 635-7100
(559) 635-7104
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A403750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A403750
—
CA
Enumeration date
01/09/2006
Last updated
05/06/2011
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