Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A141471 | CA |
NPI | 1891055075 |
---|---|
Provider Name | Mrs. Neha Talreja Sudol |
First Address | Orange, CA 92868 |
Second Address | Anaheim, CA 92806-2020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 12/01/2022 |