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Individual

DR. MIHIR DEEPAK SURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 SIERRA COLLEGE DR STE 120, GRASS VALLEY, CA 95945-5763
(530) 477-4480
(530) 274-7532
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125062387
IL
208M00000X
Hospitalist Physician
Primary
A137238
CA

Other

Enumeration date
07/17/2012
Last updated
03/20/2026
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