Individual provider · Type 1 NPI

Sukumarn Sarah Mingviriya, MSHS, PA-C, ATRET

Surgical Physician Assistant · Fremont, CA

NPI number 1861601437 Active

Practice location

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310

Mailing address

41492 Alice St
Fremont, CA 94539-4533

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Surgical Physician Assistant 363AS0400X015283 (NY)
Surgical Physician Assistant Primary 363AS0400X53437 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1861601437

Sukumarn Sarah Mingviriya, MSHS, PA-C, ATRET's National Provider Identifier is 1861601437, issued on May 21, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fremont, CA. The record was last updated on Jan 3, 2022.