Thota, Surya Rao

Thota, Surya Rao is an individual health care provider with primary practice located at 1 Hurley Plz , Flint MI 48503-5902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Thota, Surya Rao can be contacted via phone (810) 257-9284.

Contact Information

Primary practice address
1 Hurley Plz Flint MI 48503-5902
Phone: (810) 257-9284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301041520 Michigan

Profile Details

NPI number 1790739068
LBN Legal business name Thota, Surya Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790739068 NPPES
Michigan Other 5705237 AETNA

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