Individual
DR. DEVAKI SHILPA SUDHA SURASI
Active
Individual
DR. DEVAKI SHILPA SUDHA SURASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
R8279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392270001
—
TX
01
—
392270002
MEDICAID-CSHCN
TX
01
—
8KA008
BCBS
TX
01
—
P02163541
RAILROAD MEDICARE
TX
Enumeration date
06/24/2011
Last updated
05/18/2021
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