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NPI Profile for SURYA MEDICAL GROUP SC in KENOSHA, WI.
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 home, the office, long-term care settings such as nursing homes, and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Nephrology |
207RN0300X | 11 | Physician/Internal Medicine |
| NPI Number | 1043415631 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/15/2007 | |
| Last updated | 10/05/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SURYA MEDICAL GROUP SC
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SURYA MEDICAL GROUP SC