Individual
SURJITH VATTOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5741
(501) 526-5148
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5741
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036165020
IL
2085N0700X
Neuroradiology Physician
E-12127
AR
2085N0700X
Neuroradiology Physician
L2849
AL
Other
Enumeration date
07/24/2007
Last updated
07/18/2023
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