SURENDER VUTHOORI MD INC NPI 1073626503

NPI Information

NPI: 1073626503
Provider Name: SURENDER VUTHOORI MD INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
63532 29 PALMS HWY
#A
JOSHUA TREE, CA
ZIP 92252
Phone: (760) 366-8491
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SURENDER VUTHOORI MD INC is a cardiovascular disease internal medicine in Joshua Tree, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SURENDER VUTHOORI MD INC NPI is 1073626503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

63532 29 PALMS HWY
#A
JOSHUA TREE, CA
ZIP 92252
Phone: (760) 366-8491
Fax: (760) 346-2471

The provider's authorized official is Surender Vuthoori .
The authorized official title is President and has the following contact phone number (760) 366-8491.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 5/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	A33804	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	756061629	OTHER	CALIFORNIA	MEDICARE RAILROAD
2	913622300	OTHER	CALIFORNIA	MEDFL MEDICAL FLORIDA
3	00A338040	MEDICAID	CALIFORNIA
4	ZZZ89656Z	OTHER	CALIFORNIA	MEDICARE ID TYPE
5	199003100	OTHER	CALIFORNIA	ACSTA ACS DEPARTMENT OF LABOUR
6	199003100	OTHER	CALIFORNIA	US LAB US DEPARTMENT OF LABOUR
7	A87972	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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