Surya Medical Group Sc in Kenosha - Geriatric Medicine
Surya Medical Group Sc - NPI 1043415631
Surya Medical Group Sc is a Geriatric Medicine in Kenosha, Wisconsin. Surya Medical Group Sc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Surya Medical Group Sc is 1043415631. The last update date is 2007-10-05.
Surya Medical Group Sc's current location address is 6125 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2625648636. The mailing address for Surya Medical Group Sc is 6125 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surya Medical Group Sc |
|---|---|
| Address | 6125 Green Bay Rd, Kenosha, Wisconsin |
| Phone Number | 2625648636 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Pulla N Ganesh |
| Credentials | MD |
| Telephone Number | 2625648636 |
NPI Number Detail
| NPI Number | 1043415631 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 6125 Green Bay Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531422928 |
| Phone Number | 2625648636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21279800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Surya Medical Group Sc by the Centers for Medicare & Medicaid Services?
The Surya Medical Group Sc has been assigned the NPI (National Provider Identifier) 1043415631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Surya Medical Group Sc's facilities are situated?
The facilities of Surya Medical Group Sc are physically located at the following address: 6125 Green Bay Rd, Kenosha, WI, 531422928.
What is Surya Medical Group Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Surya Medical Group Sc's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043415631 to Surya Medical Group Sc?
The Centers for Medicare & Medicaid Services originally issued the 1043415631 to Surya Medical Group Sc on 2007-06-15.
As of what date were the details pertaining to Surya Medical Group Sc last refreshed?
The information related to the Surya Medical Group Sc, including its address, specialty, and other relevant details, was last updated on 2007-10-05.