Dr. Prashant Sura
Internist Pediatrician
4309 W Medical Center Dr Ste A102
McHenry
, Illinois 60050-8436
Dr. Prashant Sura
Internist Pediatrician
4309 W Medical Center Dr Ste A102
McHenry
, Illinois 60050-8436
(815) 338-6600
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About
Features
Specialties
- Internist
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Prashant Sura
- 4309 W Medical Center Dr Ste A102
- Mchenry, IL
- Zip : 60050-8436
- Phone : (815) 338-6600
Second Address
- Dr. Prashant Sura
- 4309 W Medical Center Dr Ste A102
- Mchenry, IL
- Zip : 60050-8436
- Phone : (815) 338-6600
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Is Dr. Prashant Sura a sole practitioner?
Is Dr. Prashant Sura accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036-117824 | IL |
| N | 111NI0900X | Internist | 036-117824 | IL |
| N | 208000000X | Pediatrician | 036.117824 | IL |
National Provider Identifier
| NPI | 1003995697 |
|---|---|
| Provider Name | Dr. Prashant Sura |
| First Address | Mchenry, IL 60050-8436 |
| Second Address | Mchenry, IL 60050-8436 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 05/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| K45133 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.