Surana, Gautam C

Surana, Gautam C is an sole proprietor health care provider with primary practice located at 520 Westfield Ave Suite 305, Elizabeth NJ 07208-1658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Surana, Gautam C can be contacted via phone (908) 451-3511.

Contact Information

Primary practice address
520 Westfield Ave Suite 305 Elizabeth NJ 07208-1658
Phone: (908) 451-3511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA03494800 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA03494800 New Jersey

Profile Details

NPI number 1437144391
LBN Legal business name Surana, Gautam C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Dec 28th, 2016 - about 8 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 1437144391 NPPES
New Jersey MEDICAID 1535200

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