DR. SURENDER KUMAR (NPI# 1245205574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245205574 |
| Entity Type | Individual |
| Full Name | DR. SURENDER KUMAR |
| Credential | M.D. |
| Practice Address |
6084 S Archer Ave Suite 102 Chicago IL 60638-2747 |
| Mailing Address |
Po Box 64568 Phoenix AZ 85082-4568 |
| Practice Telephone | 7738844280 |
| Practice Fax Number | 6309532347 |
| Mailing Telephone | 6302886200 |
| Mailing Fax Number | 8557814084 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036054014 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036054014 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912077603 | Surender V Kumar | Obstetrics & Gynecology | 3327 Highway 5, Douglasville, GA 30135-2307 | 2006-11-09 |
| Street Address |
6084 S ARCHER AVE SUITE 102 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757817 | Penchala Sompalli | Specialist | 6084 S Archer Ave, Suite 101, Chicago, IL 60638-2747 | 2005-08-23 |
| 1548640212 | Mount Sinai Community Foundation | Urology | 6084 S Archer Ave, Ste 202, Chicago, IL 60638-2747 | 2015-06-08 |
| 1235546037 | Mount Sinai Community Foundation | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2014-07-14 |
| 1124465844 | Katarzyna Helena Rogala | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2013-06-04 |
| 1366751935 | Donald Woznica Jr. | Family Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2010-09-30 |
| 1821294141 | Pitu G Punjabi Md Sc | Internal Medicine | 6084 S Archer Ave, Ste 100, Chicago, IL 60638-2747 | 2007-06-24 |
| 1215058656 | Khandeparker, Sc. | Internal Medicine | 6084 S Archer Ave, Suite 202, Chicago, IL 60638-2747 | 2007-04-03 |
| 1740358126 | Robert J Kash | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-12-01 |
| 1699852939 | Bindiganavle G Shreenivas | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-11-01 |
| 1467530972 | Raghu R Vollala Md Sc | Internal Medicine | 6084 S Archer Ave, Chicago, IL 60638-2747 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1588097596 | Atif Khawaja Hassan | Internal Medicine | 5140 N California Ave Ste 740, Chicago, IL 60625-7066 | 2013-08-13 |
| 1952651382 | Rajeev Ruben Fernando | Internal Medicine | 365 N Jefferson St, 2712, Chicago, IL 60661-1226 | 2012-09-13 |
| 1174888945 | Mohammad Tarek Kabbany | Internal Medicine | 676 N Saint Clair St Ste 7-730, Chicago, IL 60611-2927 | 2012-07-09 |
| 1740589175 | United Diagnostic Services, LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 2, Chicago, IL 60646-3820 | 2011-03-24 |
| 1932361433 | Sanjay S Gill | Internal Medicine | 2266 N. Lincoln Ave., 3, Chicago, IL 60614 | 2008-06-26 |
| 1053571208 | Curewell Diagnostic Services LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 1, Chicago, IL 60646-3820 | 2008-06-11 |
| 1972760718 | Steve Attanasio | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612 | 2008-05-20 |
| Find all providers in CHICAGO | ||||
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| 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.