Provider Demographics
NPI:1548447717
Name:SURKUNTE, ARPITA (MD)
Entity type:Individual
Prefix:
First Name:ARPITA
Middle Name:
Last Name:SURKUNTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 W RAY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3570
Mailing Address - Country:US
Mailing Address - Phone:480-331-4316
Mailing Address - Fax:480-571-3613
Practice Address - Street 1:2390 W RAY RD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3570
Practice Address - Country:US
Practice Address - Phone:480-331-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ81644207R00000X
AZ42361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ147538Medicare PIN
AZZ140767Medicare PIN