Individual
SUREKHA S GAJENDRAGADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Mailing address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000398
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001975072
BCBS
WV
01
—
609079
CARELINK COVENTRY
WV
05
—
7302339000
—
WV
01
—
7332914
AETNA
WV
01
—
7471484
CIGNA
WV
01
—
P00687439
RAILROAD MEDICARE
WV
Enumeration date
03/30/2007
Last updated
05/27/2020
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