Provider Demographics
NPI:1144369299
Name:RAMAKUMAR, SUMAN A (DDS)
Entity type:Individual
Prefix:DR
First Name:SUMAN
Middle Name:A
Last Name:RAMAKUMAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 SARATOGA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-7384
Mailing Address - Country:US
Mailing Address - Phone:408-247-2612
Mailing Address - Fax:408-947-8204
Practice Address - Street 1:122 SARATOGA AVE STE 100
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-7384
Practice Address - Country:US
Practice Address - Phone:408-317-7297
Practice Address - Fax:408-947-8204
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA524561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice