Bhogineni-Thakore, Susmita
Bhogineni-Thakore, Susmita is an individual health care provider with primary practice located at 650 N Nellis Blvd , Las Vegas NV 89110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bhogineni-Thakore, Susmita can be contacted via phone (702) 459-7424.Contact Information
Primary practice address
650 N Nellis Blvd
Las Vegas NV 89110
Phone: (702) 459-7424
Fax: (702) 459-0320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11306 | Nevada |
Profile Details
| NPI number | 1972573178 |
|---|---|
| LBN Legal business name | Bhogineni-Thakore, Susmita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 18th, 2010 - about 14 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 | 1972573178 | NPPES |
| Nevada | MEDICAID | 100506075 | |
| Nevada | MEDICAID | 100506076 |
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