Individual
DR. SURENDAR GAJENDRA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3345 BURNS RD STE 302, PALM BEACH GARDENS, FL 33410-4321
(561) 622-7661
(561) 622-4651
Mailing address
14750 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1507
(786) 758-3152
(786) 441-2156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62640-20
WI
207Q00000X
Family Medicine Physician
EP10034290
TX
208D00000X
General Practice Physician
ACN702
FL
208D00000X
General Practice Physician
Primary
ME136965
FL
Other
Enumeration date
01/20/2010
Last updated
10/20/2020
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