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Organization
MADHAV SURI MD, INC
Active
Organization
MADHAV SURI MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL DE LOS SANTOS (MEDICAL BILLER)
(559) 322-7766
Entity
Organization
Contact information
Practice address
7151 N CEDAR AVE STE 102, FRESNO, CA 93720-3389
(559) 322-7766
(559) 322-7120
Mailing address
PO BOX 25548, FRESNO, CA 93729-5548
(559) 322-7766
(559) 322-7120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A51804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A518040
—
CA
Enumeration date
05/25/2007
Last updated
01/07/2008
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