Organization
ALLIANCE IN INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA KHERA MD, MSC (MD)
(860) 253-0037
Entity
Organization
Contact information
Practice address
139 HAZARD AVE STE 2, ENFIELD, CT 06082-4585
(860) 253-0037
Mailing address
139 HAZARD AVE STE 2, ENFIELD, CT 06082-4585
(860) 253-0037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037342
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001373422
—
CT
Enumeration date
11/02/2017
Last updated
06/16/2018
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