Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD454304 | PA |
NPI | 1033434436 |
---|---|
Provider Name | Dhaval Sureja |
First Address | Allentown, PA 18104-6459 |
Second Address | Allentown, PA 18104-6459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 22/07/2015 |