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Organization

SURESH M DASANI MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SURESH MADHAVJI DASANI M.D., (PRESIDENT)
(419) 726-7070
Entity
Organization

Contact information

Practice address
2755 SHORELAND AVE, TOLEDO, OH 43611-1177
(419) 726-7070
(419) 726-3621
Mailing address
2755 SHORELAND AVE, TOLEDO, OH 43611-1177
(419) 726-7070
(419) 726-3621

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35054340
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0699687
OH
Enumeration date
07/19/2005
Last updated
09/01/2010
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