Surendra, Christopher Michael
Surendra, Christopher Michael is an individual health care provider with primary practice located at 1110 Se Cary Pkwy Suite 103, Cary NC 27518-7420. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Surendra, Christopher Michael can be contacted via phone (919) 467-4992.Contact Information
Primary practice address
1110 Se Cary Pkwy Suite 103
Cary NC 27518-7420
Phone: (919) 467-4992
Fax: (919) 232-5328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9763 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C04849 | Maryland |
Profile Details
| NPI number | 1154672426 |
|---|---|
| LBN Legal business name | Surendra, Christopher Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2012 |
| Last updated | Jun 26th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154672426 | NPPES |
| Florida | Other | MD061 | FL MEDICARE |
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