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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972573178 NPPES
Nevada MEDICAID 100506075
Nevada MEDICAID 100506076

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