Individual
JASVANT S SURANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1383591
NY
208000000X
Pediatrics Physician
Primary
ME103068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401250001
BLUE SHIELD
—
05
—
00561486
—
NY
01
—
040426006769
FIDELIS
—
01
—
10002697
CPHP
NY
01
—
26112
MVP
NY
01
—
76E60
EMPIRE BC
—
Enumeration date
03/23/2006
Last updated
08/27/2014
Update your record
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