Healthcare Provider Details

I. General information

NPI: 1104025303
Provider Name (Legal Business Name): ANU SURI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE MAIL CODE A90
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE MAIL CODE A90
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-8335
  • Fax:
Mailing address:
  • Phone: 216-444-8335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD437684
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35-121109
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: