Individual
DR. SURAJ SUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 949-0675
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 949-0675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-41607
KS
207R00000X
Internal Medicine Physician
24622
OK
2084A2900X
Neurocritical Care Physician
Primary
24622
OK
Other
Enumeration date
02/02/2007
Last updated
10/28/2022
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