Organization
SURAJ RASANIA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURAJ P RASANIA MD (PRESIDENT)
(909) 942-9358
Entity
Organization
Contact information
Practice address
811 E 11TH ST STE 203, UPLAND, CA 91786-4872
(909) 942-9358
(909) 912-8043
Mailing address
299 W FOOTHILL BLVD STE 212, UPLAND, CA 91786-3806
(909) 949-8866
(909) 385-0379
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A148534
CA
207RI0011X
Interventional Cardiology Physician
Primary
A148534
CA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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