Individual
DAVID SUCHOWIECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8455
Mailing address
6501 VAN NUYS BLVD, VAN NUYS, CA 91401-1425
(713) 202-5418
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C54054
CA
2084P0800X
Psychiatry Physician
F2956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021259
AMERIGROUP
TX
05
—
115032802
—
TX
01
—
87W480
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
10/02/2007
Last updated
12/28/2023
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