Surindra N Mitruka, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Santa Cruz, California. Surindra N Mitruka is licensed to practice in California (license number G84058) and his current practice location is 1575 Soquel Dr, Suite C, Santa Cruz, California. He can be reached at his office (for appointments etc.) via phone at
(831) 458-6288.
NPI number for Surindra N Mitruka is 1861590382 and his current mailing address is 2025 Soquel Ave, Santa Cruz, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861590382.
Physician's Profile
| Full Name | Surindra N Mitruka |
|---|
| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1575 Soquel Dr, Santa Cruz, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861590382
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 04/27/2012
Medical Identifiers
Medical identifiers for Surindra N Mitruka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861590382 | NPI | - | NPPES |
| 00G840580 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G84058 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Surindra N Mitruka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Surindra N Mitruka, MD
2025 Soquel Ave,
Santa Cruz, CA 95062-1323
Ph: (831) 458-6603 | Surindra N Mitruka, MD
1575 Soquel Dr, Suite C,
Santa Cruz, CA 95065-1700
Ph: (831) 458-6288 |
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