Individual
DR. AMIT SAILESH SURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-3550
(323) 361-8052
Mailing address
3701 WILSHIRE BLVD, 600, LOS ANGELES, CA 90010-2804
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A125630
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2008
Last updated
12/19/2016
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