Provider Demographics
NPI:1821049875
Name:SURI, HARPREET SINGH (MD)
Entity Type:Individual
Prefix:
First Name:HARPREET
Middle Name:SINGH
Last Name:SURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1325 PENNSYLVANIA AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2110
Mailing Address - Country:US
Mailing Address - Phone:817-778-0777
Mailing Address - Fax:817-479-9802
Practice Address - Street 1:2301 S FM 51 STE 300
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3864
Practice Address - Country:US
Practice Address - Phone:940-627-1435
Practice Address - Fax:940-627-1453
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3759207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX382928501Medicaid
TX181190303Medicaid
TX181190302Medicaid