Individual
KRISHNA M SURTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, KAISER PERMANENTE, DEPT OF RADIOLOGY, FONTANA, CA 92335-6720
(909) 427-4321
Mailing address
65 HUNTER POINT RD, PHILLIPS RANCH, CA 91766-4959
(626) 372-4358
(626) 372-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A96563
CA
2085B0100X
Body Imaging Physician
Primary
A96563
CA
2085R0202X
Diagnostic Radiology Physician
A96563
CA
Other
Enumeration date
03/21/2007
Last updated
01/06/2025
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