| Doctor Name: | SUDHA A RUSSELL |
| NPI Number: | 1528037892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G54900 |
| Business Practice Address: | 8787 Hall Rd Lamont, CA - 932411953 |
| Business Phone Number: | 6618453731 |
| Business Fax Number: | 6618451157 |
| Mailing Address: | Po Box 1559, BAKERSFIELD |
| State: | CA |
| Postal Code: | 933021559 |
| Phone Number: | 6616353050 |
| Fax Number: | 6613261347 |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PP0204X |
| License Number: | G54900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |