Doctor Name: | SAKSHAM SULOVE |
NPI Number: | 1871881508 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | P |
Business Practice Address: | 2021 Baney Rd S Suite A Ashland, OH - 448054574 |
Business Phone Number: | 4192891133 |
Business Fax Number: | 4192891132 |
Mailing Address: | 2021 Baney Rd S, Suite A ASHLAND |
State: | OH |
Postal Code: | 448054574 |
Phone Number: | 4192891133 |
Fax Number: | 4192891132 |
NPI Enumeration Date: | 07/15/2011 |
NPI Last Update Date: | 12/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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. |