Provider Demographics
NPI:1649350414
Name:SURY, KALA (MD)
Entity type:Individual
Prefix:DR
First Name:KALA
Middle Name:
Last Name:SURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 HOLLYWOOD AVE
Mailing Address - Street 2:DOUGLASTON MANOR , QUEENS
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1110
Mailing Address - Country:US
Mailing Address - Phone:718-965-0708
Mailing Address - Fax:718-965-9409
Practice Address - Street 1:270 9TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3906
Practice Address - Country:US
Practice Address - Phone:718-965-0708
Practice Address - Fax:718-965-9409
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167351207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4285191OtherAETNA
NY01060017Medicaid
NYKP167OtherOXFORD
NY18171OtherG.H.I.
NYKP167OtherOXFORD
NY4285191OtherAETNA