Mr Shyam Sukumar Ullal, PT - Physical Therapist in Calexico, CA

Mr Shyam Sukumar Ullal, PT is a Physical Therapist based in Calexico, California. Mr Shyam Sukumar Ullal is licensed to practice in California (license number PT10423) and his current practice location is 408 E 3rd St, Calexico, California. He can be reached at his office (for appointments etc.) via phone at (760) 357-8864.

NPI number for Mr Shyam Sukumar Ullal is 1558317586 and his current mailing address is 2330 Sandalwood Dr, El Centro, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558317586.

Contact Information

Mr Shyam Sukumar Ullal, PT
408 E 3rd St,
Calexico, CA 92231-2854
(760) 357-8864
(760) 357-8866

Map and Direction




Healthcare Provider's Profile

Full NameMr Shyam Sukumar Ullal
GenderMale
SpecialityPhysical Therapist
Location408 E 3rd St, Calexico, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558317586
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 01/25/2010

Medical Identifiers

Medical identifiers for Mr Shyam Sukumar Ullal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558317586NPI-NPPES
PT014230MedicaidCA
5716132OtherCAPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT10423 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shyam Sukumar Ullal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shyam Sukumar Ullal, PT
2330 Sandalwood Dr,
El Centro, CA 92243-3674

Ph: (760) 357-8864
Mr Shyam Sukumar Ullal, PT
408 E 3rd St,
Calexico, CA 92231-2854

Ph: (760) 357-8864

Reviews and Comments


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