Basic Information
| Provider Information | |||||||||
| NPI: | 1619435245 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SUKHOO | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | GEETANJALI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 825 NW 29TH CT | ||||||||
| Address2: | |||||||||
| City: | WILTON MANORS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333112450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547904605 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10101 FOREST HILL BLVD | ||||||||
| Address2: | |||||||||
| City: | WELLINGTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334146103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617988504 | ||||||||
| FaxNumber: | 5614722525 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2019 | ||||||||
| LastUpdateDate: | 07/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OS19058 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.