Doctor Name: | DR. SUHALIA BAKERYWALA |
NPI Number: | 1073883229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 95 Grasslands Road West Chester Medical Center Valhalla, NY - 10595 |
Business Phone Number: | 9144938373 |
Business Fax Number: | |
Mailing Address: | 55 Mckinley Ave, Apt # D3-15 WHITE PLAINS |
State: | NY |
Postal Code: | 106061646 |
Phone Number: | 9142551333 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |