Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suraj Vishaskha Puttanniah, MD

Individual provider Emergency Medicine Physician · NPI 1063573871

Suraj Vishaskha Puttanniah, MD is an Emergency Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 Spruce Street Pne Bsmt West
Philadelphia, PA 19107-6130
Phone: (215) 829-3264
Fax: (215) 829-8044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD435456 (PA)

Record details

NPI number1063573871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESMarch 3, 2014

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