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SUCHIR SHETH PODIATRY CORPORATION NPI 1316645351


NPI Information

NPI: 1316645351
Provider Name: SUCHIR SHETH PODIATRY CORPORATION

Doing Business As: SOCAL SPORTS PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2001 SANTA MONICA BLVD STE 465W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 396-5025
Get Directions

SUCHIR SHETH PODIATRY CORPORATION is a podiatrist in Santa Monica, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SUCHIR SHETH PODIATRY CORPORATION NPI is 1316645351. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Socal Sports Podiatry.

The provider's business location address is:

2001 SANTA MONICA BLVD STE 465W
SANTA MONICA, CA
ZIP 90404-178
Phone: (310) 396-5025
Fax: (888) 798-0180

The provider's authorized official is Suchir Ketan Sheth .
The authorized official title is President and has the following contact phone number (717) 250-9383.

The enumeration date for this NPI number is 2/20/2023 and was last updated on 4/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093262099OTHERCALIFORNIAPPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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