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NPI Code Detail

MEDICARE: DR. P SURESH NUCHIKAT MD

MEDICARE: DR. P SURESH NUCHIKAT 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
1207RN0300XNephrology Physician3535026OH

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 : 1851382857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. P SURESH NUCHIKAT MD
Provider Business Mailing Address
First Line : 2600 TUSCARAWAS ST W #160
Second Line :
City : CANTON
State : OH
Zip : 44708-4696
Country : US
Telephone Number : 330-454-9126
Fax Number : 330-454-9470
Provider Business Practice Location Address
First Line : 2600 TUSCARAWAS ST W #160
Second Line :
City : CANTON
State : OH
Zip : 44708-4696
Country : US
Telephone Number : 330-454-9126
Fax Number : 330-454-9470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/09/2012

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