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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1861590382 NPPES
California MEDICAID 00G840580

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