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DASHA SUROVEC M.D. NPI 1619031572


NPI Information

NPI: 1619031572
Provider Name: DASHA SUROVEC, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1400 MEDICAL CENTER DR
SUITE A
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 585-7700
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Dasha Surovec, M.D. is a pediatrics in Rohnert Park, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Dasha Surovec, M.D. NPI is 1619031572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 MEDICAL CENTER DR
SUITE A
ROHNERT PARK, CA
ZIP 94928-924
Phone: (707) 585-7700
Fax: (707) 585-8310

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG 40143CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A48107MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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