Individual
SURESHNI SURENDRANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2000
Mailing address
326 N 2ND ST APT D, ALHAMBRA, CA 91801-2331
(626) 506-3594
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6205
CT
Other
Enumeration date
07/07/2022
Last updated
11/06/2023
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