Individual
MISTY SURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
025766
LA
207XX0801X
Orthopaedic Trauma Physician
MD025766
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08924818
—
MS
05
—
1045837
—
LA
05
—
286531
—
SC
Enumeration date
11/06/2006
Last updated
11/13/2013
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