Purohit, Surendar S

Purohit, Surendar S is an individual health care provider with primary practice located at 850 W North St Ste 100 , Jackson MI 49202-3196. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Purohit, Surendar S can be contacted via phone (517) 841-3033.

Contact Information

Primary practice address
850 W North St Ste 100 Jackson MI 49202-3196
Phone: (517) 841-3033
Fax: (517) 841-3034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301064466 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G86170 California
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 4301064466 Michigan

Profile Details

NPI number 1205824547
LBN Legal business name Purohit, Surendar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Sep 19th, 2018 - about 8 years ago

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 1205824547 NPPES
California Other 00G861701 BLUE CROSS
California Other 180H149970 BLUE CROSS
California MEDICAID 4704786 BLUE CROSS
California MEDICAID 00G861701 BLUE CROSS
California MEDICAID 4704721 BLUE CROSS
California Other P00203853 BLUE CROSS
California Other 180C846310 BLUE CROSS
California MEDICAID 4704740 BLUE CROSS
California MEDICAID 4704712 BLUE CROSS

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