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NPI Code Detail

MEDICARE: DR. SURESH KUMAR R. SARMA M.D.

MEDICARE: DR. SURESH KUMAR R. SARMA M.D.
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
12084P0800XPsychiatry PhysicianME126412FL
22084P0800XPsychiatry Physician036-106134IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P00301854OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2297659000OTHERMAGELLAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4475532OTHERHEALTHLINK
5107060OTHERHEALTH ALLIANCE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548361801
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SURESH KUMAR R. SARMA M.D.
Provider Business Mailing Address
First Line : 1065 NE 125TH STREET
Second Line : SUITE 300
City : NORTH MIAMI
State : FL
Zip : 33161-5833
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4428
Provider Business Practice Location Address
First Line : 10301 HAGEN RANCH RD STE B200
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3723
Country : US
Telephone Number : 561-752-9490
Fax Number : 561-752-9491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/26/2026

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