Provider Demographics
NPI:1487902524
Name:JAYARAMASWAMY SULOCHANA, SHILPA (MD)
Entity type:Individual
Prefix:
First Name:SHILPA
Middle Name:
Last Name:JAYARAMASWAMY SULOCHANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHILPA
Other - Middle Name:
Other - Last Name:SULOCHANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SHILPA SULOCHANA MD
Mailing Address - Street 1:39500 FREMONT BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2101
Mailing Address - Country:US
Mailing Address - Phone:510-248-1800
Mailing Address - Fax:510-687-1356
Practice Address - Street 1:39500 FREMONT BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2101
Practice Address - Country:US
Practice Address - Phone:510-248-1800
Practice Address - Fax:510-687-1356
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC201237208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics