Active NPIIndividual provider

Surya P Irakam, MD

Internal Medicine, Gastroenterology in Manahawkin, New Jersey

NPI Number1114971397
Practice location
1140 Route 72 W, Manahawkin, NJ 08050-2412
Fax
—
Last updated
March 4, 2025

Surya P Irakam is an Internal Medicine, Gastroenterology based in Manahawkin, NJ. Surya P Irakam practices in Manahawkin, NJ and has the professional credentials of MD. The NPI Number for Surya P Irakam is 1114971397 and holds a License No. MD487535 (PA). The current practice location address for Surya P Irakam is 1140 Route 72 W, Manahawkin, NJ 08050-2412 and can be reached out via phone at 609-597-6011.

Provider Profile Details

NPI Number
1114971397
Provider Name
Surya P Irakam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1140 Route 72 W, Manahawkin, NJ 08050-2412
Phone Number
609-597-6011
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
May 20, 2006
Last Update Date
March 4, 2025
Certification Date
March 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1140 Route 72 W
Manahawkin, NJ 08050-2412
Zip
08050-2412
Phone Number
609-597-6011
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688
City
Red Bank
State
NJ
Zip
07701-5688

License Information

License Number (1)
MD487535
License State (1)
PA
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (2)
ME166059
License State (2)
FL
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (3)
25MA06747400
License State (3)
NJ
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Surya P Irakam, MD?

The NPI number of Surya P Irakam, MD is 1114971397. It was assigned on May 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Surya P Irakam, MD?

Surya P Irakam, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PA under license number MD487535.

Where does Surya P Irakam, MD practice?

The practice location is 1140 Route 72 W, Manahawkin, NJ 08050-2412. The office can be reached at 609-597-6011 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114971397 directly on the NPPES registry website.

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