Mukesh Bhogilal Suthar MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G86105 Issued in CA

Legal business name

MUKESH BHOGILAL SUTHAR MD INC

Practice address

10808 Foothill Blvd Ste 160-203
Rancho Cucamonga, CA 91730-3889

Phone

(909) 660-3003

NPI assigned

Aug 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mukesh Bhogilal Suthar, MD

Title

Owner

Phone

(909) 660-3003

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1295013712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD STE 160-203",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "909-660-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD STE 160-203",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "909-660-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH BHOGILAL SUTHAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "SUTHAR",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "BHOGILAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-660-3003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G86105",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.