Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 01066322A | IN |
N | 207RI0011X | Interventional Cardiology | 01066322 | IN |
N | 207RI0011X | Interventional Cardiology | 01066322A | IN |
Y | 207RI0011X | Interventional Cardiology | 35135220 | OH |
NPI | 1093939258 |
---|---|
Provider Name | Rishi Sukhija |
First Address | Chesterton, IN 46304-8708 |
Second Address | Cincinnati, OH 45219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 28/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000634914 | ANTHEM BCBS (01) | IN |
200956830 | (05) | IN |