Individual
SUROVI HAZARIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2955 IVY RD STE 201, CHARLOTTESVILLE, VA 22903-9353
(434) 243-1000
(434) 244-7551
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101249113
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2008
Last updated
08/03/2015
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