# SURENDRA M KUMAR M D PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912118175
- **Authorized official:** SURENDRA M KUMAR M D (PRESIDENT)
- **Authorized official phone:** (734) 722-0004

## Contact information

- **Practice address:** 33116 PALMER RD, WESTLAND, MI 48186-5524
- **Practice address phone:** (734) 722-0004
- **Mailing address:** 33116 PALMER RD, WESTLAND, MI 48186-5524
- **Mailing address phone:** (734) 722-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | SK822018 | MI | Yes |

## Other

- **Enumeration date:** 05/26/2007
- **Last updated:** 03/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SK822018 | STATE LICENSE | MI |