Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | A155279 | CA |
NPI | 1093154486 |
---|---|
Provider Name | Dr. Zarchi E Sumon |
First Address | Modesto, CA 95356-9718 |
Second Address | Modesto, CA 95356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 26/01/2022 |