Provider Demographics
NPI:1588777312
Name:H SAHOTA MD INC & K V SRINATHA MD
Entity type:Organization
Organization Name:H SAHOTA MD INC & K V SRINATHA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HARVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHOTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-804-3481
Mailing Address - Street 1:9810 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5936
Mailing Address - Country:US
Mailing Address - Phone:562-804-3481
Mailing Address - Fax:562-925-1437
Practice Address - Street 1:9810 PARK ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5936
Practice Address - Country:US
Practice Address - Phone:562-804-3481
Practice Address - Fax:562-925-1437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A309420Medicaid
CA00A309420Medicaid