Provider Demographics
NPI:1245317692
Name:MAJUMDER, SUMIT KUMAR (MD)
Entity type:Individual
Prefix:
First Name:SUMIT
Middle Name:KUMAR
Last Name:MAJUMDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 NATIONAL AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2637
Mailing Address - Country:US
Mailing Address - Phone:408-374-5340
Mailing Address - Fax:408-374-8922
Practice Address - Street 1:14901 NATIONAL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2637
Practice Address - Country:US
Practice Address - Phone:408-374-5340
Practice Address - Fax:408-374-8922
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50797207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2076325Medicaid
E23755Medicare UPIN
CA2076325Medicaid