JAINY VATHIKULAM DO NPI 1407349145

NPI Information

NPI: 1407349145
Provider Name: JAINY VATHIKULAM, DO
Classification: Psychiatry & Neurology - 2084P0005X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

Address:
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA
ZIP 94903
Phone: (628) 877-0040
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Jainy Vathikulam, DO is a neurodevelopmental disabilities psychiatry neurology in San Rafael, CA. The provider is a neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Jainy Vathikulam, DO NPI is 1407349145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA
ZIP 94903-151
Phone: (628) 877-0040

The enumeration date for this NPI number is 6/7/2018 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0005X	Psychiatry & Neurology	Neurodevelopmental Disabilities	20A17874	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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