Provider Demographics
NPI:1790700987
Name:SURI, RAJESH SAM (MD)
Entity Type:Individual
Prefix:
First Name:RAJESH
Middle Name:SAM
Last Name:SURI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:43575 MISSION BLVD # 709
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5831
Mailing Address - Country:US
Mailing Address - Phone:510-931-4310
Mailing Address - Fax:510-894-0615
Practice Address - Street 1:3155 KEARNEY ST STE 100
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2268
Practice Address - Country:US
Practice Address - Phone:510-931-4310
Practice Address - Fax:510-894-0615
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-05-17
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Provider Licenses
StateLicense IDTaxonomies
CAA50486207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease