Healthcare Provider Details

I. General information

NPI: 1801235304
Provider Name (Legal Business Name): ALOK SURANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 N CENTRAL AVE STE 2
PHOENIX AZ
85020-2463
US

IV. Provider business mailing address

9200 N CENTRAL AVE STE 2
PHOENIX AZ
85020-2463
US

V. Phone/Fax

Practice location:
  • Phone: 480-999-4954
  • Fax: 480-999-4712
Mailing address:
  • Phone: 480-999-4954
  • Fax: 480-999-4712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number64675
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number64675
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: