Individual
MR. KRISHNA SURAPANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S ANAHEIM BLVD STE 300, ANAHEIM, CA 92805-5804
(714) 399-0046
(714) 399-0049
Mailing address
1000 S. ANAHEIM BLVD SUITE 300, ANAHEIM, CA 92805
(714) 399-0046
(714) 399-0049
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A49872
CA
208600000X
Surgery Physician
A49872
CA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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