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Individual
DR. SURENDRA P PARUCHURI
Active
Individual
DR. SURENDRA P PARUCHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036061132
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036061132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061132
—
IL
05
—
100014800A
—
IN
01
—
170580
PERSONAL CARE/COVENTRY
—
01
—
22387
UNITED HEALTHCARE
—
Enumeration date
06/08/2006
Last updated
01/12/2015
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