DR. SURENDAR GAJENDRA RAO (NPI# 1134450869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134450869 |
| Entity Type | Individual |
| Full Name | DR. SURENDAR GAJENDRA RAO |
| Credential | M.D. |
| Practice Address |
3345 Burns Rd Ste 302 Palm Beach Gardens FL 33410-4321 |
| Mailing Address |
14750 Nw 77th Ct Ste 100 Miami Lakes FL 33016-1507 |
| Practice Telephone | 5616227661 |
| Practice Fax Number | 5616224651 |
| Mailing Telephone | 7867583152 |
| Mailing Fax Number | 7864412156 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 62640-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | EP10034290 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME136965 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ACN702 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3345 BURNS RD STE 302 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053503284 | Cecilia A Bustamante | Physician Assistant | 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410-4321 | 2007-08-12 |
| 1689289993 | South Dade Primary Care, LLC. | Non-Pharmacy Dispensing Site | 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410-4321 | 2020-09-14 |
| 1386899250 | Patricia Lynn Tucker | Physician Assistant | 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410-4321 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316352 | Palm Beach Gardens Medical, LLC | General Practice | 8841 Lyndall Ln Ste B, Palm Beach Gardens, FL 33403-1639 | 2020-05-06 |
| 1215180252 | Michael Howard Fronstin | General Practice | 104 Saint Edward Pl, Palm Beach Gardens, FL 33418-4606 | 2008-11-03 |
| 1376695957 | Jeffrey L Presser Md Pa | General Practice | 3385 Burns Rd Ste 106, Palm Beach Gardens, FL 33410-4328 | 2007-01-17 |
| 1376627067 | Harlan Clayton Bieley | General Practice | 11380 Prosperity Farms Rd Ste 114, Palm Beach Gardens, FL 33410-3464 | 2006-10-25 |
| 1144234253 | Carlos Gonzalez Jr. | General Practice | 5608 Pga Blvd, Suite 208, Palm Beach Gardens, FL 33418-4121 | 2006-07-27 |
| 1366718926 | Medexpress Urgent Care of Boynton Beach, LLC | General Practice | 4520 Donald Ross Rd, Suite 100, Palm Beach Gardens, FL 33418-5105 | 2012-03-28 |
| 1679749444 | Clarnuelyn Ho Pajo Silao | General Practice | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on DR. SURENDAR GAJENDRA RAO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.