Individual
DR. RAJANI SURAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1ST AVE 16 STREET, NEW YORK, NY 10003
(212) 844-8880
(212) 844-6807
Mailing address
1780 BROADWAY, NEW YORK, NY 10019-1414
(212) 590-2930
(212) 590-2982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125115
NY
2085R0205X
Radiological Physics Physician
125115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00234157
—
NY
Enumeration date
07/04/2006
Last updated
11/04/2011
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