Provider Demographics
NPI:1578115770
Name:SUKHU, RADHA (LCGC)
Entity Type:Individual
Prefix:
First Name:RADHA
Middle Name:
Last Name:SUKHU
Suffix:
Gender:F
Credentials:LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE STE 382
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4623
Mailing Address - Country:US
Mailing Address - Phone:407-303-2780
Mailing Address - Fax:407-303-5903
Practice Address - Street 1:2501 N ORANGE AVE STE 382
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4623
Practice Address - Country:US
Practice Address - Phone:407-303-5955
Practice Address - Fax:407-303-2780
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS