Individual
DR. PURNA R SURAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5445 ALI DR DEPT 320, GRAND BLANC, MI 48439-5193
(810) 428-1181
Mailing address
5445 ALI DR DEPT 320, GRAND BLANC, MI 48439-5193
(810) 428-1181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301049717
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301049717
MI
Other
Enumeration date
09/20/2006
Last updated
10/31/2023
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