| Sauda Esoof Bholat Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (310) 786-7204 | |
| Not Available |
| Full Name | Sauda Esoof Bholat Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Sauda E Bho (OWNER/PRESIDENT) |
| Authorized Official Contact | 3107867204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sauda Esoof Bholat Md Inc 325 N Maple Dr Po Box 551 Beverly Hills CA 90213-4837 Ph: (310) 786-7204 | Sauda Esoof Bholat Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (310) 786-7204 |
| NPI Number | 1780310896 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Medicare PECOS PAC ID | 2860876737 |
|---|---|
| Medicare Enrollment ID | O20220826002556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780310896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Sauda E Bholat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831492081 PECOS PAC ID: 5193045177 Enrollment ID: I20220826002666 |
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