Organization Active NPI

Keshava G Suresh MD PA

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1134310840
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J5493 Issued in TX
Legal business name
KESHAVA G SURESH MD PA
Practice address
4505 Chesterwood Dr
Plano, TX 75093-3519
Phone
(972) 596-3627
Fax
(972) 867-2707
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keshava G Suresh, MD
Title
Owner
Phone
(972) 596-3627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X J5493 TX Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X J5493 TX

Addresses

Primary practice location

4505 Chesterwood Dr
Plano, TX 75093-3519

Mailing address

4505 Chesterwood Dr
Plano, TX 75093-3519
Phone (972) 596-3627

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1134310840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 CHESTERWOOD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933519",
            "telephone_number": "972-596-3627",
            "fax_number": "972-867-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 CHESTERWOOD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933519",
            "telephone_number": "972-596-3627",
            "fax_number": "972-867-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAVA G SURESH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "SURESH",
        "authorized_official_first_name": "KESHAVA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-596-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J5493",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J5493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.