Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | D0082790 | MD |
NPI | 1033387352 |
---|---|
Provider Name | Preethi Sural |
First Address | Bethesda, MD 20817-5826 |
Second Address | Bethesda, MD 20817-5826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2008 |
Last Update Date | 27/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
948190 | (05) | AZ |