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Dr. Sunny Koipurathu Philip JR., MD
Hematology & Oncology Physician in Lodi, California
NPI 1578852109

Sunny Koipurathu Philip JR. is a Hematology & Oncology Physician based in Stockton, CA and is specialized in Hematology & Oncology. Sunny Koipurathu Philip JR. practices in Lodi, CA and has the professional credentials of MD. The NPI Number for Sunny Koipurathu Philip JR. is 1578852109 and holds a License No. A151375 (California).

The current practice location address for Sunny Koipurathu Philip JR. is 801 S Ham Ln Ste S, Lodi, CA and can be reached out via phone at 209-366-2616 and via fax at 209-333-3884.

Location: 801 S Ham Ln Ste S, Lodi, CA, 95204-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578852109
Provider Name
Sunny Koipurathu Philip JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 S Ham Ln Ste S, Lodi, CA, 95204-5500
Phone Number
209-366-2616
Fax Number
209-333-3884
Provider Enumeration Date
04/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 S Ham Ln Ste S
City
Lodi
State
California
Zip
95242-7503
Phone Number
209-366-2616
Fax Number
209-333-3884
person
Provider Business Mailing Address Details
Address
801 S Ham Ln Ste S
City
Lodi
State
California
Zip
95242-7503
Phone Number
209-366-2616
Fax Number
209-333-3884
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A151375 (California)
Definition
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.
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