| Suresh Sureddi Md Llc | |
|
730 E Park Blvd 120 Plano TX 75074-5451 | |
| (214) 908-1255 | |
| (888) 393-5982 |
| Full Name | Suresh Sureddi Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 730 E Park Blvd, Plano, Texas |
| Authorized Official Name and Position | Suresh Sureddi (CEO) |
| Authorized Official Contact | 2149081255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh Sureddi Md Llc Box 213, 120 E. Fm 544 72 Murphy TX 75094-4035 Ph: (214) 908-1255 | Suresh Sureddi Md Llc 730 E Park Blvd 120 Plano TX 75074-5451 Ph: (214) 908-1255 |
| NPI Number | 1023426947 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 12/11/2014 |
| Medicare PECOS PAC ID | 1254653132 |
|---|---|
| Medicare Enrollment ID | O20141203001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023426947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Suresh Sureddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710932561 PECOS PAC ID: 3779596077 Enrollment ID: I20100325001125 |
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