Jagannath Surpure M.D.

NPI 1043397797 - Pediatrics - 208000000X

NPI Details
NPI 1043397797
Gender Male
Enumeration Date 11/01/2006
Last Updated 08/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 W SUNSET RD STE A
HENDERSON NV, 89014-2655, US
Phone (702) 898-6400
Fax (702) 898-7032
Business Location
1600 W SUNSET RD STE A
HENDERSON NV, 89014-2655, US
Phone (702) 898-6400
Fax (702) 898-7032
Toxanomy
Taxonomy Code 208000000X
License State Nevada
License Number 6591
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According to our database, Dr. Jagannath Surpure M.D. NPI is 1043397797, taxonomy code is 208000000X and license number is 6591, license state is located at Nevada. Jagannath Surpure M.D. physically located at 1600 W Sunset Rd Ste A, Henderson NV, 89014-2655. NPI Number Jagannath Surpure M.D. has the Individual type.

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1043397797 NPI number is provided on an as is basis without warranty of any kind. 1043397797 is maintained by the National Plan & Provider Enumeration System. The contents of Jagannath Surpure M.D. are for informational purposes only.