Leena M Sumitra
Psychiatry & Neurology, Psychiatry in Modesto, CA. Individual provider (NPI-1).
NPI number1760601769
StatusActive
Last updated in NPPESMar 1, 2016
Details
- NPI
- 1760601769
- Entity type
- Individual (NPI-1)
- Name
- Leena M Sumitra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Mar 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A97894 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD60439648 | WA |
Practice location
4125 Bangs AveModesto, CA 95356-8713
Phone 209-557-1000
Mailing address
1320 Standiford Ave Ste 5Modesto, CA 95350-0726
Phone 209-557-1000
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