Sutterwala, Fayyaz
Sutterwala, Fayyaz is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Sutterwala, Fayyaz can be contacted via phone (310) 423-2948.Contact Information
Primary practice address
8700 Beverly Blvd
West Hollywood CA 90048-1804
Phone: (310) 423-2948
Fax: (310) 967-1773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042792 | Connecticut |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 37567 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37567 | Iowa |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C143045 | California |
Profile Details
| NPI number | 1790866200 |
|---|---|
| LBN Legal business name | Sutterwala, Fayyaz |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Oct 19th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790866200 | NPPES |
| Iowa | Other | 71372 | WELLMARK BCBS |
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