Individual
DR. SURENDRA BABU GUDAPATI
Active
Individual
DR. SURENDRA BABU GUDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A76026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A760260
BLUE SHIELD PROVIDER ID
CA
Enumeration date
07/07/2006
Last updated
06/14/2013
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