Individual
SURESH PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 W DESCHUSTES PL, SUITE 1A, KENNEWICK, WA 99336
(509) 737-8766
(509) 737-8887
Mailing address
7525 W DESCHUSTES PL, SUITE 1A, KENNEWICK, WA 99336
(509) 737-8766
(509) 737-8887
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00042832
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8800113
MEDICARE
—
Enumeration date
11/02/2006
Last updated
01/25/2008
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