Individual provider · Type 1 NPI
Sunny Koipurathu Philip Jr., MD
Hematology & Oncology Physician · Lodi, CA
Practice location
801 S Ham Ln Ste S
Lodi, CA 95242-7503
Fax (209) 333-3884
Mailing address
2626 N California St Ste B
Stockton, CA 95204-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician Primary | 207RH0003X | A151375 (CA) |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
About NPI 1578852109
Sunny Koipurathu Philip Jr., MD's National Provider Identifier is 1578852109, issued on Apr 5, 2011. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lodi, CA. The record was last updated on Feb 13, 2018.