Individual
SURUCHI TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 W ALBANY ST, BROKEN ARROW, OK 74012-8146
(918) 744-2338
Mailing address
PO BOX 1440, JENKS, OK 74037-1440
(918) 779-9594
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27246
OK
Other
Enumeration date
04/19/2007
Last updated
10/27/2020
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