Doctor Name: | SUDHA MOOLA |
NPI Number: | 1063628386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A101361 |
Business Practice Address: | 3975 Jackson St Suite #208 Riverside, CA - 925033901 |
Business Phone Number: | 9517327834 |
Business Fax Number: | 9513527758 |
Mailing Address: | 1240 Las Ventanas Way, RIVERSIDE |
State: | CA |
Postal Code: | 925088722 |
Phone Number: | 9517327834 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A101361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |