Basic Information
Provider Information
NPI: 1457585952
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SENTHILVELAN
FirstName: PADMAPRIYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1040 FLYNN RD
Address2:  
City: CAMARILLO
State: CA
PostalCode: 930125092
CountryCode: US
TelephoneNumber: 8056733930
FaxNumber: 8056593217
Practice Location
Address1: 450 W CLARA ST
Address2:  
City: OXNARD
State: CA
PostalCode: 93033
CountryCode: US
TelephoneNumber: 8054880210
FaxNumber: 8054880510
Other Information
ProviderEnumerationDate: 05/12/2009
LastUpdateDate: 08/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA134894CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home