Surenderanath, Nisha K

Surenderanath, Nisha K is an sole proprietor health care provider with primary practice located at 605 Emancipation Hwy , Fredericksburg VA 22401-8403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Surenderanath, Nisha K can be contacted via phone (540) 310-0117.

Contact Information

Primary practice address
605 Emancipation Hwy Fredericksburg VA 22401-8403
Phone: (540) 310-0117
Fax: (540) 310-4736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 42283 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101272856 Virginia

Profile Details

NPI number 1003992686
LBN Legal business name Surenderanath, Nisha K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Apr 25th, 2022 - about 4 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 1003992686 NPPES
Tennessee MEDICAID 3000900

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