Individual
SURAJ SULYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
4351 E LOHMAN AVE STE 300, LAS CRUCES, NM 88011-8262
(505) 640-2341
Mailing address
301 N ROADRUNNER PKWY APT 1102, LAS CRUCES, NM 88011-9056
(505) 640-2341
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/30/2025
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