Individual
KAWANJIT SURAPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(404) 350-0009
Mailing address
1501 N CAMPBELL AVE, 6TH FLOOR, ROOM 6336, TUCSON, AZ 85724-5040
(520) 626-2761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55148
AZ
207R00000X
Internal Medicine Physician
R74538
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88548
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R74538
AZ
207RP1001X
Pulmonary Disease Physician
R74538
AZ
Other
Enumeration date
06/21/2014
Last updated
07/28/2021
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