Organization
GENESEE MEDICAL ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA R THOTA M.D. (PRESIDENT)
(810) 257-9284
Entity
Organization
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 257-9284
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 257-9284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995237
HEALTH PLUS OF MICHIGAN
MI
01
—
111512
CARE CHOICES/PREFERRED CH
MI
01
—
AN250015
MCARE
MI
Enumeration date
11/01/2006
Last updated
08/22/2020
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