Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 043335 | CT |
NPI | 1033181573 |
---|---|
Provider Name | Dr. Sutha Sachar |
First Address | Torrance, CA 90505-4829 |
Second Address | Torrance, CA 90505-4829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001433359 | (05) | CT |
036115922 | (05) | IL |
04532244 | BLUE CROSS BLUE SHIELD (01) | IL |
I29994 | (02) |