Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | P6286 | TX |
NPI | 1326366691 |
---|---|
Provider Name | Anuj Suri |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
324997101 | (05) | TX |
324997102 | (05) | TX |
324997103 | (05) | TX |
324997104 | (05) | TX |
8DU005 | BCBS (01) | TX |
8FX476 | BCBS (01) | TX |
P01358796 | RR MEDICARE (01) | TX |