Sreedharan, Suresh

Sreedharan, Suresh is an sole proprietor health care provider with primary practice located at 219 Brooks Avenue North , Thief River Falls MN 56701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sreedharan, Suresh can be contacted via phone (218) 681-4673.

Contact Information

Primary practice address
219 Brooks Avenue North Thief River Falls MN 56701
Phone: (218) 681-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47461 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 61310-20 Wisconsin

Profile Details

NPI number 1285665067
LBN Legal business name Sreedharan, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Mar 6th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285665067 NPPES
Wisconsin MEDICAID 1285665067

Popular Providers