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Contact Information

SURENDER VUTHOORI MD INC
63532 29 PALMS HWY
#A
JOSHUA TREE, CA92252
 Phone: 760-366-8491
 Fax: 760-346-2471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SURENDER VUTHOORI MD INC · (Female)

NPI # 1073626503
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2006
Last updated 05/18/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A33804
  • CA Medicaid 00A338040
  • CA Other 199003100 ACSTA ACS DEPARTMENT OF LABOUR
  • CA Other 913622300 MEDFL MEDICAL FLORIDA
  • CA Other ZZZ89656Z MEDICARE ID TYPE
  • CA Other 756061629 MEDICARE RAILROAD
  • CA Other 199003100 US LAB US DEPARTMENT OF LABOUR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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