Mitruka, Surindra N
Mitruka, Surindra N is an individual health care provider with primary practice located at 1575 Soquel Dr Suite C, Santa Cruz CA 95065-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mitruka, Surindra N can be contacted via phone (831) 458-6288.Contact Information
Primary practice address
1575 Soquel Dr Suite C
Santa Cruz CA 95065-1700
Phone: (831) 458-6288
Fax: (831) 477-9026
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G84058 | California |
Profile Details
NPI number | 1861590382 |
---|---|
LBN Legal business name | Mitruka, Surindra N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Apr 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861590382 | NPPES |
California | MEDICAID | 00G840580 |
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