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Jainy Vathikulam, DO
Neurodevelopmental Disabilities Physician Physician in San Rafael, California
NPI 1407349145

Jainy Vathikulam is a Neurodevelopmental Disabilities Physician Physician based in San Rafael, CA and is specialized in Neurodevelopmental Disabilities. Jainy Vathikulam practices in San Rafael, CA and has the professional credentials of DO. The NPI Number for Jainy Vathikulam is 1407349145 and holds a License No. 20A17874 (California).

The current practice location address for Jainy Vathikulam is 4000 Civic Center Dr Ste 100, San Rafael, CA and can be reached out via phone at 628-877-0040.

Location: 4000 Civic Center Dr Ste 100, San Rafael, CA, 94903-4151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407349145
Provider Name
Jainy Vathikulam
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4000 Civic Center Dr Ste 100, San Rafael, CA, 94903-4151
Phone Number
628-877-0040
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Civic Center Dr Ste 100
City
San Rafael
State
California
Zip
94903-4151
Phone Number
628-877-0040
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Civic Center Dr Ste 100
City
San Rafael
State
California
Zip
94903-4151
Phone Number
628-877-0040
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
2084P0005X
License No.
20A17874 (California)
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
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