Individual
MITHRAN SURESH SUKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7820
Mailing address
618 SW COLONY DR, PORTLAND, OR 97219-7772
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD23273
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD61568295
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287461
—
OR
Enumeration date
07/31/2006
Last updated
09/20/2024
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