Individual
SURINDAR K JOLLY
Active
Individual
SURINDAR K JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
055782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1308209371
BLUE CROSS BLUE SHIELD
MI
01
—
1308261622
BLUE CROSS BLUE SHIELD
MI
05
—
2918602
—
MI
Enumeration date
05/27/2006
Last updated
05/05/2008
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