Michael Patrick Sullivan, MD

Individual provider Neurology Physician · NPI 1336105626

Michael Patrick Sullivan, MD is a Neurology Physician in So Lake Tahoe, California. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in: CA, NV
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

2101 S Ave
So Lake Tahoe, CA 96150
Phone: (530) 542-5744
Fax: (530) 542-5747

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary)	Taxonomy 2084N0400X · Licence G40941 (CA)
Neurology Physician	Taxonomy 2084N0400X · Licence 6833 (NV)

Record details

NPI number	1336105626
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	Yes
NPI enumerated	April 25, 2006
Last updated in NPPES	September 28, 2012