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Organization
SUNRISE MEDICAL GROUP PLLC
Active
Organization
SUNRISE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH VEERAMACHANENI M.D. (PRESIDENT / CFO)
(917) 891-8500
Entity
Organization
Contact information
Practice address
543 E 137TH ST, BRONX, NY 10454-4225
(917) 891-8500
(917) 891-8501
Mailing address
219 20TH ST, HUNTINGTON BEACH, CA 92648-3913
(917) 891-8500
(917) 891-8501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
243118-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243118-1
NEW YORK STATE LICENSE
NY
Enumeration date
05/14/2013
Last updated
05/14/2013
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