DR. KOTESWAR RAO SUREDDI


Address: 1400 Bryan Dr, Suite 300, Durant, OK 74702
Phone: 5809241700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 11978 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100014110A 05

Office Location

Street Address 1400 BRYAN DR
SUITE 300
City DURANT
State OK
Zip Code 74702

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in DURANT

Competitor

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City DURANT
Zip Code 74702

Improve Information

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Dataset Information

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.

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