Organization
CARDIOTHORACIC SURGERY ASSOCIATES OF THE DESERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURINDRA N MITRUKA MD (PHYSICIAN PARTNER)
(760) 568-4330
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, K108, RANCHO MIRAGE, CA 92270
(760) 568-4330
(760) 568-6470
Mailing address
39000 BOB HOPE DR, K108, RANCHO MIRAGE, CA 92270
(760) 568-4330
(760) 568-6470
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G84058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090990
—
CA
Enumeration date
07/01/2006
Last updated
10/31/2007
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