Surendar Gajendra Rao M.D.

NPI 1134450869 - Family Medicine - 207Q00000X

NPI Details
NPI 1134450869
Gender Male
Enumeration Date 01/20/2010
Last Updated 02/19/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
2501 W SILVER SPRING DR
GLENDALE WI, 53209-4217, US
Phone (414) 461-9250
Fax
Business Location
2501 W SILVER SPRING DR
GLENDALE WI, 53209-4217, US
Phone (414) 461-9250
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number EP10034290
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According to our database, Dr. Surendar Gajendra Rao M.D. NPI is 1134450869, taxonomy code is 207Q00000X and license number is EP10034290, license state is located at Texas. Surendar Gajendra Rao M.D. physically located at 2501 W Silver Spring Dr, Glendale WI, 53209-4217. NPI Number Surendar Gajendra Rao M.D. has the Individual type.

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1134450869 NPI number is provided on an as is basis without warranty of any kind. 1134450869 is maintained by the National Plan & Provider Enumeration System. The contents of Surendar Gajendra Rao M.D. are for informational purposes only.