MURALI KRISHNA SURNEDI MD NPI 1407003015

NPI Information

NPI: 1407003015
Provider Name: MURALI KRISHNA SURNEDI, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS

PECOS Registration: Yes

Address:
1825 LOGAN AVE
WATERLOO, IA
ZIP 50703
Phone: (319) 235-3716
Get Directions

Murali Krishna Surnedi, MD is a diagnostic radiology radiology in Waterloo, IA with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Murali Krishna Surnedi, MD NPI is 1407003015. 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:

1825 LOGAN AVE
WATERLOO, IA
ZIP 50703-916
Phone: (319) 235-3716
Fax: (319) 235-5202

The NPI 1407003015 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 8/26/2008 and was last updated on 12/6/2012.

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	2085R0202X	Radiology	Diagnostic Radiology	40399	IOWA	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	1407003015	OTHER	IOWA	WELLMARK
2	1407003015	MEDICAID	IOWA
3	719270044	MEDICARE PIN	IOWA
4	421417307-VO	OTHER	IOWA	UHC & UHC-RV

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: 11/14/2023

NPI Synchronization or Removal

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