Individual
KEERTHI NANDAN SURAKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, MAIMONIDES MEDICAL CENTER, DEPARTMENT OF PEDIATRICS, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30539
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
01/05/2024
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