Provider Demographics
NPI:1033181573
Name:SACHAR, SUTHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUTHA
Middle Name:
Last Name:SACHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 LOMITA BLVD
Mailing Address - Street 2:STE 420
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4829
Mailing Address - Country:US
Mailing Address - Phone:424-250-9179
Mailing Address - Fax:949-437-3558
Practice Address - Street 1:3440 LOMITA BLVD STE 420
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4829
Practice Address - Country:US
Practice Address - Phone:424-250-9179
Practice Address - Fax:323-300-2021
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115922174400000X
CT043335207RG0100X
CAA85817174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001433359Medicaid
IL04532244OtherBLUE CROSS BLUE SHIELD
IL036115922Medicaid
I29994Medicare UPIN
ILR01347Medicare PIN
CT100000399Medicare PIN