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NPI Code Detail

MEDICARE: SURESH SUREDDI M.D.

MEDICARE: SURESH SUREDDI 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 PhysicianK4256TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710932561
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURESH SUREDDI M.D.
Provider Business Mailing Address
First Line : PO BOX 828
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8144
Country : US
Telephone Number : 972-562-0190
Fax Number : 972-563-3647
Provider Business Practice Location Address
First Line : 3920 ALMA DR
Second Line :
City : PLANO
State : TX
Zip : 75023-6748
Country : US
Telephone Number : 972-422-5939
Fax Number : 972-424-2382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 01/30/2026

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