Organization Active NPI

C.V. Surendranat MD, PA.

  • Surgical Oncology Physician
  • San Antonio, TX
National Provider Identifier
1811059777
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
K4257 Issued in TX
Legal business name
C.V. SURENDRANAT MD, PA.
Practice address
7061 Bandera Rd
Suite 101
San Antonio, TX 78238-1266
Phone
(210) 682-0140
Fax
(210) 682-3238
NPI assigned
Dec 15, 2006
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. C V Surendranath, M.D.
Title
Owner
Phone
(210) 682-0140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K4257 TX
Surgical Oncology Physician 2086X0206X K4257 TX Primary

Addresses

Primary practice location

7061 Bandera Rd
Suite 101
San Antonio, TX 78238-1266

Mailing address

PO Box 680935
San Antonio, TX 78268-0935
Phone (210) 682-0140

Other identifiers 1

IdentifierTypeStateIssuer
OA3473OtherTXPTAN

National Provider Directory

National Provider Directory

Locations

7061 Bandera Rd
Ste 101
San Antonio, TX 78238
Phone (210) 682-0140

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1811059777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680935",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782680935",
            "telephone_number": "210-682-0140",
            "fax_number": "210-682-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 BANDERA RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381266",
            "telephone_number": "210-682-0140",
            "fax_number": "210-682-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.V. SURENDRANAT MD, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "SURENDRANATH",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-682-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K4257",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "K4257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OA3473",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.