Individual
VIKRAM SURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2905 TELEGRAPH AVE, BERKELEY, CA 94705-2017
(510) 841-4525
(510) 848-9970
Mailing address
2905 TELEGRAPH AVE, BERKELEY, CA 94705-2017
(510) 841-4525
(510) 848-9970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A125533
CA
207R00000X
Internal Medicine Physician
MT197042
PA
207RN0300X
Nephrology Physician
Primary
A125533
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT197042
PA
Other
Enumeration date
05/21/2010
Last updated
07/21/2022
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