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1295230704
SURESH KAILASH NATHAN
DETROIT, MI
NPI
1295230704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 311053)
Enumeration Date
2018-03-27
Last Update Date
2022-06-15
Business Address
SURESH KAILASH NATHAN MD
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-7496
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Mailing Address
SURESH KAILASH NATHAN MD
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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