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Individual

DR. SURIANARAYANAN KARTHIKEYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
321 8TH AVE N, FARGO, ND 58102-4550
(701) 234-2525
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
21916
ND
207RG0100X
Gastroenterology Physician
Primary
220745-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004633179
AETNA
NY
01
000526402002
COMMUNITY BLUE
NY
05
02151857
NY
01
106259BT
PREFERRED CARE
NY
01
P010220745
BLUE CHOICE
NY
01
P040220745
BLUE CROSS BLUE SHIELD
NY
Enumeration date
03/08/2007
Last updated
02/05/2025
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