Organization
SURYA HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA V BHASKARABHATLA MD (MANAGING PARTNER)
(973) 812-1010
Entity
Organization
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D 208, WEST PATERSON, NJ 07424-2559
(738) 121-0109
(973) 200-0120
Mailing address
1031 MCBRIDE AVE STE D208, WOODLAND PARK, NJ 07424-2569
(973) 812-1010
(973) 200-0120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/13/2008
Last updated
02/16/2022
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