Individual
DR. SURESH K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 2ND ST, LANGDON, ND 58249-2407
(701) 256-6100
(701) 256-6156
Mailing address
909 2ND STREET, LANGDON, ND 58249
(701) 256-6100
(701) 256-6156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4196
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15973
—
ND
01
—
23445
BLUE CROSS/BLUE SHIELD
ND
Enumeration date
07/24/2006
Last updated
06/19/2013
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