Provider Demographics
NPI:1275716219
Name:MATSUKUMA, KAREN E (MD, PHD)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:E
Last Name:MATSUKUMA
Suffix:
Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-2525
Mailing Address - Fax:916-734-2560
Practice Address - Street 1:4400 V ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1445
Practice Address - Country:US
Practice Address - Phone:916-734-2525
Practice Address - Fax:916-734-2560
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA105075207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology