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Individual

ANJANA S SURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1336 W WHITTIER BLVD, MONTEBELLO, CA 90640-4601
(323) 726-2255
Mailing address
714 HAMPTON RD, ARCADIA, CA 91006-2003
(626) 355-4194

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A30390
CA

Other

Enumeration date
06/28/2006
Last updated
11/29/2011
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