Gajendragadkar, Surekha S

Gajendragadkar, Surekha S is an individual health care provider with primary practice located at 9 Yellow Wood Way , Beckley WV 25801-7126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gajendragadkar, Surekha S can be contacted via phone (304) 255-2376.

Contact Information

Primary practice address
9 Yellow Wood Way Beckley WV 25801-7126
Phone: (304) 255-2376
Fax: (304) 255-7120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 000398

Profile Details

NPI number 1609996792
LBN Legal business name Gajendragadkar, Surekha S
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated May 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609996792 NPPES
West Virginia MEDICAID 7302339000
West Virginia Other 7332914
West Virginia Other P00687439
West Virginia Other 609079
West Virginia Other 7471484
West Virginia Other 001975072

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