| Doctor Name: | MADE SUTJITA |
| NPI Number: | 1053428334 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A77694 |
| Business Practice Address: | 26520 Cactus Ave Moreno Valley, CA - 925553927 |
| Business Phone Number: | 9514865700 |
| Business Fax Number: | 9514865705 |
| Mailing Address: | Po Box 7270, MORENO VALLEY |
| State: | CA |
| Postal Code: | 925527270 |
| Phone Number: | 9516561500 |
| Fax Number: | 9516561510 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 06/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RI0200X |
| License Number: | A77694 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Infectious Disease |
| Taxonomy Definition: | An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |