Provider Demographics
NPI:1528524402
Name:HOTHI-SANGHA, SUKHJIT KAUR (DC)
Entity type:Individual
Prefix:
First Name:SUKHJIT
Middle Name:KAUR
Last Name:HOTHI-SANGHA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SUKHI
Other - Middle Name:KAUR
Other - Last Name:HOTHI-SANGHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:601 EWING ST STE C3
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2756
Mailing Address - Country:US
Mailing Address - Phone:802-445-5274
Mailing Address - Fax:732-289-6126
Practice Address - Street 1:601 EWING ST STE C3
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2756
Practice Address - Country:US
Practice Address - Phone:802-445-5274
Practice Address - Fax:732-289-6126
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00651700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty