Provider Demographics
NPI:1235971334
Name:SUROYA, NAMAN (MD)
Entity type:Individual
Prefix:MR
First Name:NAMAN
Middle Name:
Last Name:SUROYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 SOUTH CANDY LANE
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326
Mailing Address - Country:US
Mailing Address - Phone:928-639-6054
Mailing Address - Fax:928-639-6043
Practice Address - Street 1:269 SOUTH CANDY LANE
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326
Practice Address - Country:US
Practice Address - Phone:928-639-6054
Practice Address - Fax:928-639-6043
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program