Individual provider · Type 1 NPI

Nishant Venkat Surapaneni, MD

Student in an Organized Health Care Education/Training Program · Hialeah, FL

NPI number 1104613892 Active

Practice location

2001 W 68th St Fl 33016
Hialeah, FL 33016-1898

Call (305) 823-5000 Map

Mailing address

5021 E Crescent Dr
Anaheim, CA 92807-3631

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104613892

Nishant Venkat Surapaneni, MD's National Provider Identifier is 1104613892, issued on Apr 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hialeah, FL. The record was last updated on Apr 24, 2025.