Provider Demographics
NPI:1235986597
Name:CHERA, SUKHDEEP SINGH (BS)
Entity type:Individual
Prefix:MR
First Name:SUKHDEEP
Middle Name:SINGH
Last Name:CHERA
Suffix:
Gender:M
Credentials:BS
Other - Prefix:MR
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:CHERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:10301 NE 10TH ST APT 652
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5614
Mailing Address - Country:US
Mailing Address - Phone:951-306-5701
Mailing Address - Fax:
Practice Address - Street 1:955 POWELL AVE SW
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2908
Practice Address - Country:US
Practice Address - Phone:951-306-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program