Organization
SURENDRA M KUMAR M D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRA M KUMAR M D (PRESIDENT)
(734) 722-0004
Entity
Organization
Contact information
Practice address
33116 PALMER RD, WESTLAND, MI 48186-5524
(734) 722-0004
Mailing address
33116 PALMER RD, WESTLAND, MI 48186-5524
(734) 722-0004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
SK822018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SK822018
STATE LICENSE
MI
Enumeration date
05/26/2007
Last updated
03/30/2010
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