Individual
DR. B S SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1751 W ROMNEYA DR, SUITE #J, ANAHEIM, CA 92801-1815
(714) 776-3566
(714) 776-3303
Mailing address
1751 W ROMNEYA DR, SUITE #J, ANAHEIM, CA 92801-1815
(714) 776-3566
(714) 776-3303
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A45820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A458200
—
CA
01
—
A45820
MEDICARE
—
05
—
GR0101430
—
CA
Enumeration date
12/28/2006
Last updated
05/09/2011
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