Provider Demographics
NPI:1336987270
Name:SUMITA PAUL MD A MEDICAL CORPORATION
Entity type:Organization
Organization Name:SUMITA PAUL MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PALASH
Authorized Official - Middle Name:RANJAN
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-831-9254
Mailing Address - Street 1:7691 SWEETGUM CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-2303
Mailing Address - Country:US
Mailing Address - Phone:617-831-9254
Mailing Address - Fax:
Practice Address - Street 1:710 S CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-4646
Practice Address - Country:US
Practice Address - Phone:818-660-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty