Individual
DR. DILIP SURYAVANSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 HEALDSBURG AVE, HEALDSBURG, CA 95448-3253
(707) 473-4404
Mailing address
1540 HEALDSBURG AVE, HEALDSBURG, CA 95448-3253
(707) 473-4404
(707) 473-4405
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A112298
CA
208600000X
Surgery Physician
Primary
A112298
CA
Other
Enumeration date
10/23/2007
Last updated
07/09/2019
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