SURESH K MUKHERJI


Address: 804 Service Rd, D100, East Lansing, MI 48824-7015
Phone: 5173535053

SURESH K MUKHERJI (NPI# 1326129453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326129453
Entity Type Individual
Full Name SURESH K MUKHERJI
Credential MD
Practice Address 804 Service Rd
D100
East Lansing
MI 48824-7015
Mailing Address 804 Service Rd
Room A201
East Lansing
MI 48824-7015
Practice Telephone 5173535053
Practice Fax Number 5174324394
Mailing Telephone 5178842976
Mailing Fax Number 5174323928
Enumeration Date 2006-10-17
Last Update Date 2019-12-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085N0700X Radiology
Specialization: Neuroradiology
4301077390 MI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
M-2189 GU Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301077390 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1326129453 05
MI 4284028 05

Office Location

Street Address 804 SERVICE RD
D100
City EAST LANSING
State MI
Zip Code 48824-7015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457355042 Elizabeth Hengstebeck Family Medicine 804 Service Rd, A142, East Lansing, MI 48824-7015 2005-06-10
1467906271 Barbara Mitchell Nurse Practitioner 804 Service Rd, A217, East Lansing, MI 48824-7015 2016-08-09
1578946406 Prajwal Dhakal Internal Medicine 804 Service Rd, A225, East Lansing, MI 48824-7015 2015-07-09
1184007890 Omar Albanyan Internal Medicine 804 Service Rd, A225 Clinical Center, East Lansing, MI 48824-7015 2015-06-30
1942681226 Laura Bohatch Internal Medicine 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 2015-06-12
1225417850 Georgette Cooke Internal Medicine 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 2015-05-28
1326427931 Negar Salehi Internal Medicine 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824 2015-05-28
1871900563 Tariq Khalid Alrasheed Internal Medicine 804 Service Rd, Room A-225, East Lansing, MI 48824-7021 2014-07-15
1851716732 Christie Daiss Pharmacist 804 Service Rd, A-101, East Lansing, MI 48824-7021 2014-02-28
1538583380 Jane French Pharmacist 804 Service Rd, East Lansing, MI 48824-7021 2014-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528680303 Emilia Elizabeth Mattioli Psychiatry & Neurology 965 Fee Road Room A223, East Lansing, MI 48824 2020-05-14
1447871983 James O'brien Psychiatry & Neurology Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 2020-05-06
1750916979 Mulin Xiong Student in an Organized Health Care Education/Training Program 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 2020-03-09
1821659301 Tovah Apolonia Aho Psychiatry & Neurology Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 2019-06-25
1912564881 Asmara Theresa Hoo Psychiatry & Neurology 965 Fee Road, Room A233, East Lansing, MI 48824 2019-05-24
1790276822 Traverse Health Clinic and Coalition Clinic/Center East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 2018-05-24
1922598515 Jubin Joseph Cheruvelil Specialist/Technologist, Other 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 2018-05-18
1073003257 Dawn Arvye Contreras Health Educator 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 2018-05-14
1710406046 Kimberly Ann Breukink Social Worker 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 2017-09-19
1043766314 Ahmed Jouan Psychiatry & Neurology 804 Service Rd A217, East Lansing, MI 48824 2016-08-28
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134483985 Robert Jarrett Steffy Radiology 846 Service Rd, East Lansing, MI 48824-7017 2012-06-26
1386809036 Charles Tribue Hounshell Radiology 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823-6819 2008-07-22
1053587535 Thomas Loi Radiology 138 Service Rd Ste A204, East Lansing, MI 48824-1376 2008-05-05
1902007644 Daniel Glen Vickers Radiology 138 Service Rd Ste D100, East Lansing, MI 48824-1313 2007-05-30
1417162819 Andrew Guglielmi Radiology D100 Clinical Ctr, East Lansing, MI 48824-1313 2007-05-11
1932286945 Ryan Stephen Fajardo Radiology 804 Service Rd Ste D100, East Lansing, MI 48824-7015 2006-11-01
1437246071 Edward James Potchen Radiology 184 Radiology Building, East Lansing, MI 48824 2006-10-06
1679526867 Bing Tai Radiology 627 Whitehills Dr, East Lansing, MI 48823-2731 2006-05-18
1275945768 Julia Hobson Radiology 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823-6819 2014-06-02
1285074914 Ezemonye O Madu Radiology 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 2013-06-26
Find all providers in EAST LANSING

Competitor

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City EAST LANSING
Zip Code 48824

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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