Active NPI
C.V. Surendranat MD, PA.
- Surgical Oncology Physician
- San Antonio, TX
National Provider Identifier
1811059777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- K4257
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OA3473 | Other | TX | PTAN |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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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.