Individual
CHRISTOPHER MICHAEL SURENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1110 SE CARY PKWY, SUITE 103, CARY, NC 27518-7420
(919) 467-4992
(919) 232-5328
Mailing address
1120 SE CARY PKWY, SUITE 100, CARY, NC 27518-7413
(919) 467-4992
(919) 232-5328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9763
GA
363AM0700X
Medical Physician Assistant
Primary
C04849
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD061
FL MEDICARE
FL
Enumeration date
09/27/2012
Last updated
06/26/2020
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