Suraga LLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401411194 Issued in VA

Legal business name

SURAGA LLC

Practice address

650 Cedar Creek Grade
Suite 205
Winchester, VA 22601-6452

Phone

(540) 404-1223

NPI assigned

Mar 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gaurav Agarwal, DDS

Title

Member

Phone

(540) 404-1223

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1417340381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE",
            "address_2": "SUITE 205",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE",
            "address_2": "SUITE 205",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-404-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURAGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "540-404-1223",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Winchester, VA
• Providers in Winchester, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.