Individual
SURESH K MUKHERJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
4301077390
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301077390
MI
2085R0202X
Diagnostic Radiology Physician
M-2189
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326129453
—
MI
05
—
4284028
—
MI
Enumeration date
10/17/2006
Last updated
12/09/2019
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