Jagannath S. Surpure, M.d.p.c.

NPI #1750422481 in Henderson, Nevada

Provider Information

NPI Number: 1750422481
Entity Type: Organization
Organization Name: Jagannath S. Surpure, M.d.p.c.
Primary Specialty: Pediatrics
Enumeration Date: Feb 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1600 W SUNSET RD
Address 2: SUITE A
City: Henderson
State: Nevada
ZIP Code: 89014-2654
Phone: (702) 898-6400

Authorized Official

Name: DR. JAGANNATH S. SURPURE, M.D.
Title: MEDICAL DIRECTOR
Phone: (702) 898-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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