Individual
DR. SURESH KUMAR NAHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
Mailing address
200 BRIGHTON 15TH ST, APT. 3F, BROOKLYN, NY 11235-5842
(917) 596-7193
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
245485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02427365
—
NY
Enumeration date
07/21/2006
Last updated
08/09/2021
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