Individual
SURENDAR DWARAKANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 W US HIGHWAY 30, SCHERERVILLE, IN 46375-1856
(708) 860-5432
(773) 245-5244
Mailing address
1750 W DIVISION ST APT 401, CHICAGO, IL 60622-8815
(708) 860-5432
(773) 245-5244
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-111537
IL
207W00000X
Ophthalmology Physician
M1649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177348302
—
TX
Enumeration date
03/16/2006
Last updated
04/23/2021
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