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NPI Code Detail

MEDICARE: SUCHETHA ADIGA M.D.

MEDICARE: SUCHETHA ADIGA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0500XCytopathology PhysicianC160356CA
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD064674LPA
3207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianC160356CA
4207ZC0500XCytopathology PhysicianMD064674LPA

General Provider Information

NPI Number : 1003816893
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUCHETHA ADIGA M.D.
Provider Business Mailing Address
First Line : 2374 E PACIFICA PL
Second Line :
City : RANCHO DOMINGUEZ
State : CA
Zip : 90220-6214
Country : US
Telephone Number : 310-225-3244
Fax Number : 310-698-7040
Provider Business Practice Location Address
First Line : 2374 E PACIFICA PL
Second Line :
City : RANCHO DOMINGUEZ
State : CA
Zip : 90220-6214
Country : US
Telephone Number : 310-225-3244
Fax Number : 310-698-7040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 09/23/2020

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Directions to “ SUCHETHA ADIGA M.D.” Practice Location

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