Individual
SURENDER R NERAVETLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1671 N LIMESTONE ST, SPRINGFIELD, OH 45503-2646
(937) 324-5511
(937) 398-0652
Mailing address
1671 N LIMESTONE ST, SPRINGFIELD, OH 45503-2646
(937) 324-5511
(937) 398-0652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
045946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512181
—
OH
Enumeration date
05/27/2006
Last updated
02/08/2017
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