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General NPI Number Information
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NPI Number | 1912118175
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Entity Type | Organization
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Legal Business Name | SURENDRA M KUMAR M D PC
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 33116 PALMER RD
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City | WESTLAND
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State | MI
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Zip | 48186-5524
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Country | US
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Telephone | 734-722-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 33116 PALMER RD
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City | WESTLAND
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State | MI
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Zip | 48186-5524
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Country | US
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Telephone | 734-722-0004
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SURENDRA M KUMAR
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Credential | M D
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Telephone | 734-722-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | SK822018
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License Number State | MI
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