Organization
PROMILA SURI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PROMILA SURI M.D. (OWNER PHYSICIAN)
(410) 398-4120
Entity
Organization
Contact information
Practice address
155 W HIGH ST, ELKTON, MD 21921-5526
(410) 398-4120
(302) 992-9260
Mailing address
155 W HIGH ST, ELKTON, MD 21921-5526
(410) 398-4120
(302) 992-9260
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0860001
BCBS
MD
Enumeration date
12/06/2007
Last updated
12/06/2007
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