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1013329382

NPI Code Detail

MEDICARE: DR. JAIPREET S SURI MD

MEDICARE: DR. JAIPREET S SURI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	4301119391	MI
2	2085R0001X	Radiation Oncology Physician	BP10050688	NY
3	2085R0001X	Radiation Oncology Physician	T290620	MA
4	2085R0001X	Radiation Oncology Physician	22122	NH

General Provider Information

NPI Number	:	1013329382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIPREET S SURI MD

Provider Business Mailing Address
First Line	:	5 ALUMNI DR
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-2160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 ALUMNI DR
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-2160
Country	:	US
Telephone Number	:	603-580-7337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	11/07/2021

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Directions to “ DR. JAIPREET S SURI MD” Practice Location

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