Provider Demographics
NPI:1144399742
Name:SALIM R SURANI, MD PA
Entity Type:Organization
Organization Name:SALIM R SURANI, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIM
Authorized Official - Middle Name:R
Authorized Official - Last Name:SURANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-229-3178
Mailing Address - Street 1:PO BOX 60183
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-0183
Mailing Address - Country:US
Mailing Address - Phone:361-452-8360
Mailing Address - Fax:361-452-8359
Practice Address - Street 1:1224 3RD ST STE 6
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2354
Practice Address - Country:US
Practice Address - Phone:361-452-8360
Practice Address - Fax:361-452-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7220207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162771301Medicaid
TXF51997Medicare UPIN