Gundaji, Suresh

Gundaji, Suresh is an individual health care provider with primary practice located at 110 Liberty St Signature Healthcare, Brockton MA 02301-5521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gundaji, Suresh can be contacted via phone (508) 894-0400.

Contact Information

Primary practice address
110 Liberty St Signature Healthcare Brockton MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 894-0412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 257064 Massachusetts

Profile Details

NPI number 1467662601
LBN Legal business name Gundaji, Suresh
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 12th, 2024 - 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 1467662601 NPPES
Louisiana MEDICAID 07814

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