DR. SURENDAR GAJENDRA RAO M.D. NPI 1134450869

NPI Information

  • NPI: 1134450869
  • Provider Name: DR. SURENDAR GAJENDRA RAO, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3345 BURNS RD STE 302
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Phone: (561) 622-7661

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NPI Details

DR. Surendar Gajendra Rao, M.D. is a general practice in Palm Beach Gardens, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Surendar Gajendra Rao, M.D. NPI is 1134450869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3345 BURNS RD STE 302
PALM BEACH GARDENS, FL
ZIP 33410-321
Phone: (561) 622-7661
Fax: (561) 622-4651

The NPI 1134450869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 10/20/2020.

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
1207Q00000XFamily Medicine62640-20WISCONSINNo
2207Q00000XFamily MedicineEP10034290TEXASNo
3208D00000XGeneral PracticeME136965FLORIDAYes
4208D00000XGeneral PracticeACN702FLORIDANo

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: 11/21/2025

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