Nukala, Suresh

Nukala, Suresh is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 332 , Marquette MI 49855-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Nukala, Suresh can be contacted via phone (906) 225-3922.

Contact Information

Primary practice address
1414 W Fair Ave Ste 332 Marquette MI 49855-5407
Phone: (906) 225-3922
Fax: (906) 225-4527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301089054 Michigan

Profile Details

NPI number 1578643037
LBN Legal business name Nukala, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 21st, 2009 - about 16 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 1578643037 NPPES
Michigan Other P00365530 RAILROAD MEDICARE
Michigan MEDICAID 4940237 RAILROAD MEDICARE
Michigan Other SN089054 RAILROAD MEDICARE

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