Provider Demographics
NPI:1992369292
Name:MUQADARATI, SUNILA (MSN)
Entity Type:Individual
Prefix:
First Name:SUNILA
Middle Name:
Last Name:MUQADARATI
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 MT DIABLO BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3780
Mailing Address - Country:US
Mailing Address - Phone:510-665-9700
Mailing Address - Fax:
Practice Address - Street 1:9225 N 3RD ST STE 203
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2464
Practice Address - Country:US
Practice Address - Phone:602-632-2983
Practice Address - Fax:480-565-4552
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-23
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician