DR. KOTESWAR RAO SUREDDI (NPI# 1780621052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780621052 |
Entity Type | Individual |
Full Name | DR. KOTESWAR RAO SUREDDI |
Credential | M.D. |
Practice Address |
1400 Bryan Dr Suite 300 Durant OK 74702 |
Practice Telephone | 5809241700 |
Practice Fax Number | 5809241736 |
Mailing Telephone | 5809241700 |
Mailing Fax Number | 5809241736 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2012-09-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 11978 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100014110A | 05 |
Street Address |
1400 BRYAN DR SUITE 300 |
City | DURANT |
State | OK |
Zip Code | 74702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265431522 | Jeffrey C Neilson | Orthopaedic Surgery | 1400 Bryan Dr, Suite 304, Durant, OK 74701-2156 | 2005-07-19 |
1275900763 | Texoma Pain Management Specialist Pllc | Anesthesiology | 1400 Bryan Dr, Ste 306, Durant, OK 74701-2156 | 2015-08-31 |
1093103152 | Jodi Robinson | Nurse Practitioner | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2014-12-24 |
1790022770 | Osu Center for Health Scienses | Clinic/Center | 1400 Bryan Dr, Suite 300, Durant, OK 74701-2156 | 2013-01-10 |
1386990067 | Durant Hma Physician Management, LLC | Surgery | 1400 Bryan Dr, Suite 203, Durant, OK 74701-2156 | 2012-07-31 |
1750637427 | Durant Hma Physician Management, LLC | Urology | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2012-07-31 |
1457607137 | Durant Hma Physician Management, LLC | Orthopaedic Surgery | 1400 Bryan Dr, Suite 304, Durant, OK 74701-2156 | 2012-07-31 |
1013263789 | Durant Hma Physician Management, LLC | Obstetrics & Gynecology | 1400 Bryan Dr, Suite 200, Durant, OK 74701-2156 | 2012-07-31 |
1922354604 | Durant Hma Physician Management, LLC | Pediatrics | 1400 Bryan Dr, Suite 201, Durant, OK 74701-2156 | 2012-07-31 |
1568718245 | Durant Hma Physician Management, LLC | Ophthalmology | 1400 Bryan Dr, Suite 202, Durant, OK 74701-2156 | 2012-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528019569 | Grant Roesler | Nurse Anesthetist, Certified Registered | 1400 Bryan Drive, Durant, OK 74702 | 2006-05-15 |
1578794087 | Olen Lynn Jestis II | Family Medicine | 1610 W University Blvd, Durant, OK 74702-1610 | 2009-07-31 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144585639 | Alexander C Roby | Family Medicine | 5109 Valley View Dr, Durant, OK 74701-7742 | 2012-07-10 |
1629332952 | Timothy Ryan Newton | Family Medicine | 424 N 2nd Ave, Durant, OK 74701-4116 | 2012-07-02 |
1417036104 | Tiffany Dawn Burke | Family Medicine | 1312 N 1st Ave, Durant, OK 74701-2810 | 2006-11-03 |
1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
1962432625 | Gastorf Family Clinic PC | Family Medicine | 1004 N 19th Ave Bldg 2, Durant, OK 74701-3017 | 2006-07-05 |
1952339558 | Kd Family Care Center Pllc | Family Medicine | 720 Bryan Dr, Suite A, Durant, OK 74701-7032 | 2006-06-30 |
1669467312 | Phyllis Pyrum Engles | Family Medicine | 1802 Radio Rd, Durant, OK 74701-2006 | 2005-09-19 |
1619961943 | Chris L Sturch | Family Medicine | 1727 Chuckwa Dr, Suite 500, Durant, OK 74701-2151 | 2005-09-01 |
1821090572 | David W Dillow | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2005-08-12 |
1124020193 | Michael A Lee | Family Medicine | 1708 Delivery Lane, Durant, OK 74701-3016 | 2005-08-10 |
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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.