Individual
ANISH SURAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-2060
(205) 996-6670
(205) 996-6650
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
110811
GA
207RN0300X
Nephrology Physician
48577
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2021
Last updated
03/31/2026
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