Surya Medical Group SC
Surya Medical Group SC is a Geriatric Medicine (Family Medicine) Physician in Kenosha, Wisconsin. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
6125 Green Bay Rd Ste 100Kenosha, WI 53142-2928
Phone: (262) 564-8636
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Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|---|
| Nephrology Physician | Taxonomy 207RN0300X |
Record details
| NPI number | 1043415631 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ganesh Pulla — Doctor · (262) 564-8636 |
| NPI enumerated | June 15, 2007 |
| Last updated in NPPES | October 5, 2007 |
| Mailing address | 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2928 |
Other providers in Kenosha
-
Gevinah Healthcare SC
3100 Washington Rd, Kenosha, WI 53144-1604 · (310) 933-5688
-
Bharathi Pulla, MD
6125 Green Bay Rd, Kenosha, WI 53142-2928 · (262) 564-8636