Healthcare Provider Details

I. General information

NPI: 1982054656
Provider Name (Legal Business Name): SUMEET HARESH WADHWANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD STE 100
BEVERLY HILLS CA
90211-2919
US

IV. Provider business mailing address

8641 WILSHIRE BLVD STE 100
BEVERLY HILLS CA
90211-2919
US

V. Phone/Fax

Practice location:
  • Phone: 310-360-6807
  • Fax: 310-360-6683
Mailing address:
  • Phone: 310-360-6807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA162182
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA162182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: