Individual
DR. SURAJ P SANCHETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3226 RAINBOW DR, RAINBOW CITY, AL 35906-5805
(256) 442-8380
(256) 442-8312
Mailing address
3226 RAINBOW DR, RAINBOW CITY, AL 35906-5805
(256) 442-8380
(256) 442-8312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7811
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000045475
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/23/2005
Last updated
12/16/2009
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