Provider Demographics
NPI:1891055075
Name:SUDOL, NEHA TALREJA (MD)
Entity Type:Individual
Prefix:MRS
First Name:NEHA
Middle Name:TALREJA
Last Name:SUDOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:TALREJA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:333 THE CITY DRIVE WEST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:714-456-6807
Mailing Address - Fax:714-456-7754
Practice Address - Street 1:3460 E LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2020
Practice Address - Country:US
Practice Address - Phone:714-644-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA141471207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program