Sur, Mousoomi M.
Sur, Mousoomi M. is an individual health care provider with primary practice located at 2083 E Hospitality Ln , Boise ID 83716-6603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sur, Mousoomi M. can be contacted via phone (208) 333-8345.Contact Information
Primary practice address
2083 E Hospitality Ln
Boise ID 83716-6603
Phone: (208) 333-8345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-9645 | Idaho |
Profile Details
| NPI number | 1518968841 |
|---|---|
| LBN Legal business name | Sur, Mousoomi M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 15th, 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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