Individual
SURAJ KEDARISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
1691 CANDELERO CT, WALNUT CREEK, CA 94598-1019
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A171667
CA
Other
Enumeration date
06/30/2016
Last updated
07/21/2022
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