Sherlyana Surja

M.D. | Pediatric Allergy-Immunology | Female

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Complete Profile:

Sherlyana Surja basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Sherlyana Surja
Credential :	M.D.
Gender :	Female

Business Address:

Sherlyana Surja address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	43200 Dequindre Rd Ste 1 Sterling Heights, MI, 48314-1707 United States
Phone Number :	586-323-2600

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1972890028
NPI Entity Type :	Individual
First Enrolment Date :	08 Jul, 2011
Last Updated On :	29 May, 2020

Medicare Participation:

Sherlyana Surja participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4486945136
Medicare Enrollment ID :	I20170802002259
Primary Specialty :	Allergy/immunology
Medical School :	Other
Graduation Year :	2007
Accepts Medicare?	Yes. Sherlyana Surja accepts medicare insurance.

Group Practice Association:

Sherlyana Surja is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Sherlyana Surja is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Allergy And Asthma Associates Of Mi Pc	0244207371	4	3600 W 13 Mile Rd Royal Oak, MI - 480736711 Ph: 2485490777	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sherlyana Surja are as mentioned. Primary taxonomy code for Sherlyana Surja, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	125060551	IL
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	4301113303	MI

Other Practice Locations:

Practice Address	City, State	Phone Number
1901 W HARRISON ST, CHICAGO, IL, 60612-3714 United States	CHICAGO, IL	312-864-6000
3600 W 13 MILE RD, ROYAL OAK, MI, 48073-6711 United States	ROYAL OAK, MI	248-549-0777

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2356 Claymont Dr Troy, MI, 48098-2426 United States
Phone Number :	708-209-7790

Business Location:

Patients can refer following map for directions to Sherlyana Surja practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.