Individual
DR. SURINDER SINGH TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, DEPARTMENT OF PEDIATRICS, SHREVEPORT, LA 71105-6800
(318) 681-4316
(318) 675-6059
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002019
GA
208000000X
Pediatrics Physician
MD.205253
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD 205253
LA
390200000X
Student in an Organized Health Care Education/Training Program
0101247049
VA
Other
Enumeration date
05/14/2008
Last updated
06/13/2023
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