Individual
SURESH KUMAR RAMJI CHEEKATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
FE00048089
WA
2085R0202X
Diagnostic Radiology Physician
FTL 42376
TX
2085R0202X
Diagnostic Radiology Physician
Primary
FTL 42748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197165701
—
TX
01
—
197165702
CSHCN
TX
01
—
8BN404
BCBSTX
TX
Enumeration date
10/12/2007
Last updated
09/02/2016
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