Individual
DR. SRIKRISHNA S. SURASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 BROADWAY, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 596-3332
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
135359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00700096
—
NY
01
—
33A221
P10
NY
Enumeration date
09/12/2006
Last updated
05/03/2026
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