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1588352181
SURYA KUMAR BANTAWA RAI
FLUSHING, NY
NPI
1588352181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-01
Last Update Date
2024-06-19
Business Address
Mr. SURYA KUMAR BANTAWA RAI MD
5634 MAIN ST
FLUSHING, NY 11355-5046
Phone number: 718-918-5000
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Mailing Address
Mr. SURYA KUMAR BANTAWA RAI MD
5634 MAIN ST
FLUSHING, NY 11355-5046
Phone number: 718-670-2000
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