Gurbani, Meena Suresh

Gurbani, Meena Suresh is an individual health care provider with primary practice located at 1505 W 17Th St , San Bernardino CA 92411-1202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gurbani, Meena Suresh can be contacted via phone (909) 887-6494.

Contact Information

Primary practice address
1505 W 17Th St San Bernardino CA 92411-1202
Phone: (909) 887-6494
Fax: (909) 887-6043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A55112 California

Profile Details

NPI number 1518015494
LBN Legal business name Gurbani, Meena Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 15th, 2012 - about 12 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 1518015494 NPPES
California MEDICAID 00A551120

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