Individual provider · Type 1 NPI

Sunny Koipurathu Philip Jr., MD

Hematology & Oncology Physician · Lodi, CA

NPI number 1578852109 Active

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

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XA151375 (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.