Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A43205 | CA |
N | 207SG0201X | Clinical Genetics (M.D.) | MD00022214 | WA |
NPI | 1578606505 |
---|---|
Provider Name | Dr. Sucheta Bhatt |
First Address | Orange, CA 92653 |
Second Address | Orange, CA 92868-4716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 08/07/2007 |