Individual
MS. NANDITA SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 E BARNETT ROAD, MEDFORD, OR 97504-0001
(541) 282-6770
(541) 282-6771
Mailing address
2640 E BARNETT RD, E333, MEDFORD, OR 97504-4301
(541) 282-6770
(541) 282-6771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD166781
OR
208M00000X
Hospitalist Physician
Primary
MD166781
OR
390200000X
Student in an Organized Health Care Education/Training Program
MT199204
PA
Other
Enumeration date
06/10/2011
Last updated
04/19/2017
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