Provider Demographics
NPI:1467035121
Name:PURSNANI, SURAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:SURAJ
Middle Name:
Last Name:PURSNANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PENN STATE HEALTH MILTON S HERSHEY MEDICAL CENTER
Mailing Address - Street 2:500 UNIVERSITY DR
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PENN STATE HEALTH MILTON S HERSHEY MEDICAL CENTER
Practice Address - Street 2:500 UNIVERSITY DR
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:570-540-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program