Bathla, Susheel
Bathla, Susheel is an sole proprietor health care provider with primary practice located at 364 Edison St , Staten Island NY 10306-3041. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Bathla, Susheel can be contacted via phone (718) 524-4112.Contact Information
Primary practice address
364 Edison St
Staten Island NY 10306-3041
Phone: (718) 524-4112
Fax: (718) 524-4189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | N005417 | New York |
Profile Details
| NPI number | 1871596387 |
|---|---|
| LBN Legal business name | Bathla, Susheel |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2005 |
| Last updated | Oct 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871596387 | NPPES |
| New York | MEDICAID | 01918189 |
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