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Individual

SURESH KUMAR CHAMARTHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2007
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
81.000088-MD
OH
2085B0100X
Body Imaging Physician
MD433915
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD433915
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81.000088-MD
MEDICAL LICENSE
OH
01
MD433915
MEDICAL LICENSE
PA
Enumeration date
07/22/2008
Last updated
08/12/2016
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