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NPI Code Detail

MEDICARE: DR. SURESH J ANTONY M.D.

MEDICARE: DR. SURESH J ANTONY 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
1207RI0200XInfectious Disease PhysicianK0610TX

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 : 1831136548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SURESH J ANTONY M.D.
Provider Business Mailing Address
First Line : 1205 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4023
Country : US
Telephone Number : 915-533-4900
Fax Number : 915-533-4902
Provider Business Practice Location Address
First Line : 1205 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4023
Country : US
Telephone Number : 915-533-4900
Fax Number : 915-533-4902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 09/06/2024

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