# MUKESH BHOGILAL SUTHAR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295013712
- **Authorized official:** MUKESH BHOGILAL SUTHAR MD (OWNER)
- **Authorized official phone:** (909) 660-3003

## Contact information

- **Practice address:** 10808 FOOTHILL BLVD STE 160-203, RANCHO CUCAMONGA, CA 91730-3889
- **Practice address phone:** (909) 660-3003
- **Mailing address:** 10808 FOOTHILL BLVD STE 160-203, RANCHO CUCAMONGA, CA 91730-3889
- **Mailing address phone:** (909) 660-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G86105 | CA | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | CA | — |

## Other

- **Enumeration date:** 08/01/2011
- **Last updated:** 12/11/2017