Individual
AHMET SURUCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 274-2476
Mailing address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 274-2476
(314) 577-8374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
99999999
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11021142A
IN
Other
Enumeration date
03/18/2019
Last updated
06/18/2020
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