SUSMITA BHOGINENI-THAKORE MD NPI 1972573178

NPI Information

NPI: 1972573178
Provider Name: SUSMITA BHOGINENI-THAKORE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
650 N NELLIS BLVD
LAS VEGAS, NV
ZIP 89110
Phone: (702) 459-7424
Get Directions

Susmita Bhogineni-thakore, MD is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Susmita Bhogineni-thakore, MD NPI is 1972573178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

650 N NELLIS BLVD
LAS VEGAS, NV
ZIP 89110
Phone: (702) 459-7424
Fax: (702) 459-0320

The enumeration date for this NPI number is 1/23/2006 and was last updated on 3/18/2010.

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
1	207Q00000X	Family Medicine		11306	NEVADA	Yes

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
1	I30066	MEDICARE UPIN
2	100795	MEDICARE ID-TYPE UNSPECIFIED	NEVADA
3	100506075	MEDICAID	NEVADA
4	100506076	MEDICAID	NEVADA

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

NPI Synchronization or Removal

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