Individual
DR. SURENDRA K PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71207 HIGHWAY 21, COVINGTON, LA 70433-7121
(985) 892-6811
(985) 892-8767
Mailing address
71207 HIGHWAY 21, COVINGTON, LA 70433-7121
(985) 892-6811
(985) 892-8767
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04588R
LA
208D00000X
General Practice Physician
04588R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159239
—
LA
01
—
POO206115
RAILROAD MEDICARE
LA
Enumeration date
11/17/2006
Last updated
10/08/2020
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