Sudheer J. Surpure
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4202 N 32nd St Suite #a
Phoenix
, Arizona 85018-4746
Sudheer J. Surpure
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4202 N 32nd St Suite #a
Phoenix
, Arizona 85018-4746
(602) 957-3282
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Sudheer J. Surpure
- 4202 N 32nd St Ste A
- Phoenix, AZ
- Zip : 85018-4764
- Fax : (602) 957-3282
- Phone : (602) 957-0332
Second Address
- Sudheer J. Surpure
- 4202 N 32nd St Suite #a
- Phoenix, AZ
- Zip : 85018-4746
- Fax : (602) 957-3282
- Phone : (602) 957-0332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | OMFS SPECIALTY 157 | OK |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | OMS 89 | CA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 41157 | AZ |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | A92044 | CA |
National Provider Identifier
| NPI | 1235216185 |
|---|---|
| Provider Name | Sudheer J. Surpure |
| First Address | Phoenix, AZ 85018-4764 |
| Second Address | Phoenix, AZ 85018-4746 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 14/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A920440 | (05) | CA |
| I42082 | (02) |
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.