Provider Demographics
NPI:1548614142
Name:SUNDARARAJAN, YOGAALAKSHMI (MD)
Entity type:Individual
Prefix:DR
First Name:YOGAALAKSHMI
Middle Name:
Last Name:SUNDARARAJAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 OAKMEAD PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4040
Mailing Address - Country:US
Mailing Address - Phone:086-752-0104
Mailing Address - Fax:
Practice Address - Street 1:1283 OAKMEAD PKWY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4040
Practice Address - Country:US
Practice Address - Phone:408-675-2010
Practice Address - Fax:888-494-2079
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA161966207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program