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General NPI Number Information
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NPI Number | 1760805055
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Entity Type | Individual
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Provider Name | SURESH KEVIN NAYAR MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 350 30TH ST STE 100
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City | OAKLAND
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State | CA
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Zip | 94609-3422
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Country | US
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Telephone | 510-204-1844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone | 510-204-1844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A196885
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | MD61265677
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | A196885
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 286432
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD61265677
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License Number State | WA
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