Leela Suruli MD PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

LS032052 Issued in MI

Legal business name

LEELA SURULI MD PC

Practice address

4811 Venoy Rd
Wayne, MI 48184-2675

Phone

(734) 721-0707

NPI assigned

Apr 11, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leela Suruli, MD

Title

Obstetrics Gynecology

Phone

(734) 721-0707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1548483043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842675",
            "telephone_number": "734-721-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842675",
            "telephone_number": "734-721-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELA SURULI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SURULI",
        "authorized_official_first_name": "LEELA",
        "authorized_official_title_or_position": "OBSTETRICS GYNECOLOGY",
        "authorized_official_telephone_number": "734-721-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "LS032052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nishaya Shawnte Lang
• Tanya Lang
• Medgine Lautzenheiser
• Tyler Alise Le, MD
• Thomas E Ledesma Jr.
• Elizabeth Lewandowski
• Lacey Ann Lewis
• Leah Lewis
• Erin Lightner
• Andrea Denise Limjoco, PT

• Gynecology Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.