Sourabh Suryadevara, M.D.

NPI #1043505969 in Mission Hills, California

Provider Information

NPI Number: 1043505969
Entity Type: Individual
Name: Sourabh Suryadevara, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 20, 2011
Last Updated: Oct 31, 2014

Practice Location

Address: 11333 SEPULVEDA BLVD
City: Mission Hills
State: California
ZIP Code: 91345-1116
Phone: (818) 365-9531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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