# PRANAMYA SURI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114414810
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D94652 | MD | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD2024-0407 | NM | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 05/14/2024
