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Individual

SURAJ RASANIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
685 N 13TH AVE STE 9, UPLAND, CA 91786-4963
(909) 500-8683
Mailing address
685 N 13TH AVE STE 9, UPLAND, CA 91786-4963
(909) 500-8683

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A148534
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
250554
MA
208M00000X
Hospitalist Physician
MD455830
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RA467360
MEDICARE
PA
Enumeration date
01/13/2012
Last updated
03/26/2026
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