Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A 102352 | CA |
NPI | 1063682433 |
---|---|
Provider Name | Dr. Vijay S Suhag |
First Address | Sacramento, CA 95827-2539 |
Second Address | Auburn, CA 95602-2454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2008 |
Last Update Date | 17/08/2015 |