Irakam, Surya P
Irakam, Surya P is an individual health care provider with primary practice located at 1140 Route 72 W , Manahawkin NJ 08050-2412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Irakam, Surya P can be contacted via phone (609) 597-6011.Contact Information
Primary practice address
1140 Route 72 W
Manahawkin NJ 08050-2412
Phone: (609) 597-6011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD487535 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME166059 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA06747400 | New Jersey |
Profile Details
| NPI number | 1114971397 |
|---|---|
| LBN Legal business name | Irakam, Surya P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Mar 4th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114971397 | NPPES |
| New Jersey | MEDICAID | 9101608 | |
| New Jersey | MEDICAID | 123102200 |
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