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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

NPI # 1073626503
LBN Legal business name SURENDER VUTHOORI MD INC
Authorized official SURENDER VUTHOORI - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/17/2006
Last updated 05/18/2009 - About 17 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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