Provider Demographics
NPI:1689936502
Name:SURANI, ALEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEEM
Middle Name:
Last Name:SURANI
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 1:748 S MEADOWS PKWY STE A9
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4841
Mailing Address - Country:US
Mailing Address - Phone:775-322-4550
Mailing Address - Fax:775-322-4776
Practice Address - Street 1:5437 KIETZKE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1088
Practice Address - Country:US
Practice Address - Phone:775-322-4550
Practice Address - Fax:775-322-4776
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18050207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV250026807Medicaid
14239011OtherCAQH