Individual
SURENDRANATH MANTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 688-4748
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062267A
IN
207R00000X
Internal Medicine Physician
Primary
79241
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200834960
—
IN
Enumeration date
09/12/2006
Last updated
09/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us