Organization
KESHAVA G SURESH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHAVA G SURESH MD (OWNER)
(972) 596-3627
Entity
Organization
Contact information
Practice address
4505 CHESTERWOOD DR, PLANO, TX 75093-3519
(972) 596-3627
(972) 867-2707
Mailing address
4505 CHESTERWOOD DR, PLANO, TX 75093-3519
(972) 596-3627
(972) 867-2707
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5493
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
J5493
TX
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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