Soares, Surayya

Soares, Surayya is an individual health care provider with primary practice located at 15200 Kercheval St , Grosse Pointe Park MI 48230-1356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Soares, Surayya can be contacted via phone (313) 417-6100.

Contact Information

Primary practice address
15200 Kercheval St Grosse Pointe Park MI 48230-1356
Fax: (313) 417-6107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301060351 Michigan

Profile Details

NPI number 1316949852
LBN Legal business name Soares, Surayya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 23rd, 2020 - about 6 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 1316949852 NPPES
Michigan MEDICAID 3517340

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