Doctor Name: | ANJANA S SURA |
NPI Number: | 1972530418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A30390 |
Business Practice Address: | 1336 W Whittier Blvd Montebello, CA - 906404601 |
Business Phone Number: | 3237262255 |
Business Fax Number: | |
Mailing Address: | 714 Hampton Rd, ARCADIA |
State: | CA |
Postal Code: | 910062003 |
Phone Number: | 6263554194 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A30390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |