Provider Demographics
NPI:1912000449
Name:JHANSI, MUSUVATHY SUNDARARAMAN (MD)
Entity Type:Individual
Prefix:MISS
First Name:MUSUVATHY
Middle Name:SUNDARARAMAN
Last Name:JHANSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4832 WISTERIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3359
Mailing Address - Country:US
Mailing Address - Phone:714-993-1854
Mailing Address - Fax:714-993-1854
Practice Address - Street 1:4832 WISTERIA DRIVE
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3359
Practice Address - Country:US
Practice Address - Phone:714-993-1854
Practice Address - Fax:714-993-1854
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA37024207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B50351Medicare UPIN