Sushma Bahl M.D., Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A45671 Issued in CA

Legal business name

SUSHMA BAHL M.D., INC.

Practice address

1200 S Diamond Bar Blvd
Suite 108
Diamond Bar, CA 91765-2298

Phone

(909) 396-0309

Fax

(909) 396-0619

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Sushma Bahl, M.D.

Title

Owner

Phone

(909) 396-0309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1841522299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 S DIAMOND BAR BLVD",
            "address_2": "SUITE 112",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654122",
            "telephone_number": "909-396-0309",
            "fax_number": "909-396-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S DIAMOND BAR BLVD",
            "address_2": "SUITE 108",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652298",
            "telephone_number": "909-396-0309",
            "fax_number": "909-396-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHMA BAHL M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-396-0309",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.