Individual
DR. CHITTAMURU V SURENDRANATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7061 BANDERA RD, SUITE 101, SAN ANTONIO, TX 78238-1266
(210) 682-0140
(210) 682-3238
Mailing address
PO BOX 680935, SAN ANTONIO, TX 78268-0935
(210) 682-0140
(210) 682-3238
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K4257
TX
2086X0206X
Surgical Oncology Physician
Primary
K4257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA3473
PTAN
TX
Enumeration date
03/26/2007
Last updated
02/12/2016
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