Healthcare Provider Details

I. General information

NPI: 1275536617
Provider Name (Legal Business Name): SALIM R SURANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 SANTA FE ST
CORPUS CHRISTI TX
78404-2336
US

IV. Provider business mailing address

PO BOX 60183
CORPUS CHRISTI TX
78466-0183
US

V. Phone/Fax

Practice location:
  • Phone: 361-452-8360
  • Fax:
Mailing address:
  • Phone: 361-229-3178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberJ7220
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: