Individual
SANTHANAM SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7037
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7037
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME166858
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
1020042
MA
207LP3000X
Pediatric Anesthesiology Physician
1020042
MA
Other
Enumeration date
06/26/2006
Last updated
09/18/2024
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