Provider Demographics
NPI:1265835987
Name:SOHUMTECH INC
Entity Type:Organization
Organization Name:SOHUMTECH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERIATRIC/MTM PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:MAJALI
Authorized Official - Last Name:MAKANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:510-449-8032
Mailing Address - Street 1:5438 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-2931
Mailing Address - Country:US
Mailing Address - Phone:510-449-8032
Mailing Address - Fax:
Practice Address - Street 1:5438 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-2931
Practice Address - Country:US
Practice Address - Phone:510-449-8032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56470314000000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness