Individual
PADMA SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Mailing address
161 JACKSON STREET, LOWELL, MA 01852-2103
(978) 937-9700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083186A
—
MA
Enumeration date
01/16/2007
Last updated
09/14/2016
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