Individual
SURESH THOTA
Active
Individual
SURESH THOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39395
TN
207R00000X
Internal Medicine Physician
Primary
39395
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000169937
UNISON
TN
05
—
3332991
—
TN
01
—
4107565
BCBS
TN
01
—
7652703
AETNA
TN
Enumeration date
01/05/2006
Last updated
07/07/2022
Update your record
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