Kannan, Suresh

Kannan, Suresh is an individual health care provider with primary practice located at 76 Underwood St Ste 100 , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kannan, Suresh can be contacted via phone (321) 841-1570.

Contact Information

Primary practice address
76 Underwood St Ste 100 Orlando FL 32806-1110
Phone: (321) 841-1570
Fax: (321) 841-1569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME83847 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME83847 Florida

Profile Details

NPI number 1487631081
LBN Legal business name Kannan, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Dec 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487631081 NPPES
Florida Other 17042 BCBS
Florida MEDICAID 128461300 BCBS
Florida MEDICAID 264524600 BCBS

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