Dr. Surender Gorukanti, MD
Family Medicine in Brooklyn, NY. Individual provider (NPI-1).
NPI number1750488292
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1750488292
- Entity type
- Individual (NPI-1)
- Name
- Dr. Surender Gorukanti
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2006
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 229439 | NY | Yes |
| 208D00000X | General Practice | 229439 | NY |
Practice location
1721 86th StBrooklyn, NY 11214-2817
Phone 718-331-6064 · Fax 718-331-4718
Mailing address
1721 86th StBrooklyn, NY 11214-2817
Phone 718-331-6064 · Fax 718-331-4718
Other practice locations
3350 Victory Blvd Unit A
Staten Island, NY 10314-6792
Staten Island, NY 10314-6792
Phone 718-494-3500 · Fax 718-494-3553
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