Organization
SURUJPAUL RAGNAUTH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURUJPAUL RAGNAUTH (SOLE PROPRIETOR)
(718) 323-2435
Entity
Organization
Contact information
Practice address
11302 107TH AVE, SOUTH RICHMOND HILL, NY 11419-2502
(718) 323-2435
Mailing address
11302 107TH AVE, SOUTH RICHMOND HILL, NY 11419-2502
(718) 323-2435
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
B7182575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01562110
—
NY
Enumeration date
01/24/2007
Last updated
02/29/2012
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