Search › Minnesota › 106H00000X
Vitaly Sukochev, M.A
NPI 1174730840 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1385 Mendota Heights Rd Ste 200
Mendota Heights, MN 55120 - Phone
- (651) 379-9800
- Fax
- (651) 405-0358
- Organisation at this address
- United Cambodian Association Of Minnesota, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota