Mukherji, Suresh K

Mukherji, Suresh K is an individual health care provider with primary practice located at 804 Service Rd D100, East Lansing MI 48824-7015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mukherji, Suresh K can be contacted via phone (517) 353-5053.

Contact Information

Primary practice address
804 Service Rd D100 East Lansing MI 48824-7015
Phone: (517) 353-5053
Fax: (517) 432-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 4301077390 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-2189 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301077390 Michigan

Profile Details

NPI number 1326129453
LBN Legal business name Mukherji, Suresh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 9th, 2019 - about 5 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 1326129453 NPPES
Michigan MEDICAID 1326129453
Michigan MEDICAID 4284028

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