Provider Demographics
NPI:1144070376
Name:ALSURAKHI, DENA N (DO)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:N
Last Name:ALSURAKHI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VALLEY HEALTH -GRADUATE MEDICAL EDUCATION OFFICE
Mailing Address - Street 2:140 E RIDGEWOOD AVE SUITE #570N
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:201-251-3381
Mailing Address - Fax:
Practice Address - Street 1:GRADUATE MEDICAL EDUCATION OFFICE
Practice Address - Street 2:140 E RIDGEWOOD AVE SUITE #570N
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-251-3381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program