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General NPI Number Information
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NPI Number | 1780917542
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Entity Type | Individual
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Provider Name | SIKANDER SURANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 1100 CENTRAL AVE SE FL 4 PMG HOSPITALIST
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4930
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Country | US
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Telephone | 505-724-6124
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Fax | 505-724-6125
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Provider Business Mailing Address
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Address Line | PO BOX 26666 PHS PROVIDER ENROLLMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-923-6700
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Fax | 505-923-5354
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD2013-0857
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2013-0857
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License Number State | NM
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