Most Relevant Information
Provider Data
| NPI Number: | 1003565987 |
| Provider Name: | SUCHETA KORWAR MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2022 |
| Last Updated: | 03/20/2022 |
Provider Practice Location
4150 V ST # 1100
SACRAMENTO
CA
958171460
Practice Location Phone/Fax
| Phone: | 9167342737 |
| Fax: |
Provider Mailing Location
4150 V ST # 1100
SACRAMENTO
CA
958171460
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |