Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAINY VATHIKULAM, DO
ActiveJAINY VATHIKULAM, DO is a Neurodevelopmental Disabilities (Psychiatry) healthcare provider located in SAN RAFAEL, California. NPI 1407349145 is currently active in the NPPES registry. Verify at CMS.
Neurodevelopmental Disabilities (Psychiatry) · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1407349145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2018 (8.2124223867675 yrs)
- Last Updated
- Dec 28, 2023
- License
-
20A17874 (CA)
Practice Information
- Address
-
4000 CIVIC CENTER DR STE 100SAN RAFAEL, CA, 949034151Browse CA providers · Browse ZIP 94903
- Phone
- 6288770040
- Primary Specialty
-
Neurodevelopmental Disabilities (Psychiatry)
2084P0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.