Active NPI
Rajini Surendra, MD
- Internal Medicine Physician
- Raleigh, NC
National Provider Identifier
1679720544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2008-00087
- Practice address
- 8600 Isle Worth CT Apt 102
Raleigh, NC 27617-6257 - Phone
- (919) 251-8388
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008-00087 | NC | Primary |
Addresses
Primary practice location
8600 Isle Worth CT Apt 102
Raleigh, NC 27617-6257
Mailing address
8600 Isle Worth CT Apt 102
Raleigh, NC 27617-6257
Phone (919) 251-8388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-00087 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1679720544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 ISLE WORTH CT APT 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276176257",
"telephone_number": "919-251-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 ISLE WORTH CT APT 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276176257",
"telephone_number": "919-251-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURENDRA",
"first_name": "RAJINI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2008-00087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
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- Suresteps Inc
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- Amanda Marie Surguine, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.