Individual
DR. SURYA RAMACHANDRAN KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(317) 923-1787
(317) 962-0853
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01059134A
IN
2086S0102X
Surgical Critical Care Physician
01059134A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01059134A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
198753-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301513671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02520450
—
NY
01
—
074790126
MEDICARE
IN
05
—
300059589
—
IN
Enumeration date
01/09/2007
Last updated
06/03/2025
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