Dr. Nisha K Surenderanath
M.D. | Pediatric Cardiology | Female
Dr. Nisha K Surenderanath, M.D. is a Fredericksburg, Virginia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Nisha K Surenderanath is
605 Emancipation Hwy, Fredericksburg, Virginia - 22401-8403. She can be contacted on phone at
540-310-0117 and fax number 540-310-4736.
Dr. Nisha K Surenderanath is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Nisha K Surenderanath is
1003992686 which was assigned by NPPES on 27 Oct, 2006 and it was last updated on 25 Apr, 2022.
Dr. Nisha K Surenderanath license number is
0101272856 for Pediatrics Pediatric Cardiology (2080P0202X) in Virginia.
Dr. Nisha K Surenderanath provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Nisha K Surenderanath basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Nisha K Surenderanath |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Nisha K Surenderanath address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 605 Emancipation Hwy
Fredericksburg, VA, 22401-8403
United States |
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| Phone Number : | 540-310-0117 |
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| Fax Number : | 540-310-4736 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003992686 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Oct, 2006 |
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| Last Updated On : | 25 Apr, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nisha K Surenderanath are as mentioned. Primary taxonomy code for Dr. Nisha K Surenderanath, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | No | 42283 | TN |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 0101272856 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Nisha K Surenderanath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 3000900 | MEDICAID | TN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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12604 LAKE RIDGE DR,
WOODBRIDGE, VA, 22192-2335
United States | WOODBRIDGE, VA | 540-310-0117 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 605 Emancipation Hwy Ste 101
Fredericksburg, VA, 22401-8403
United States |
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| Phone Number : | 423-463-4713 |
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Business Location:
Patients can refer following map for directions to
Dr. Nisha K Surenderanath practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.