NPI 1134134646
Mithran Suresh Sukumar, MD
Practice location
- Address
- 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
- Phone
- (503) 494-7820
- Mailing address
- 618 SW Colony Dr, Portland, OR 97219-7772
Registered specialties (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Registry record
- NPI
- 1134134646
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jul 2006
- Record last updated
- 20 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.