MEDICARE: SUMEET HARESH WADHWANI 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
1	208M00000X	Hospitalist Physician	A162182	CA

General Provider Information

NPI Number	:	1982054656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMEET HARESH WADHWANI M.D.

Provider Business Mailing Address
First Line	:	8641 WILSHIRE BLVD STE 100
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2919
Country	:	US
Telephone Number	:	310-360-6807
Fax Number	:

Provider Business Practice Location Address
First Line	:	11600 INDIAN HILLS RD
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-1225
Country	:	US
Telephone Number	:	818-838-4587
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2016
Last Update Date	:	03/08/2026

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