SURENDER VUTHOORI MD INC (NPI# 1407924996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407924996 |
| Entity Type | Organization |
| Organization Name | SURENDER VUTHOORI MD INC |
| Practice Address |
35280 Bob Hope Dr Ste 100 Rancho Mirage CA 92270 |
| Practice Telephone | 7607701632 |
| Practice Fax Number | 7603462471 |
| Mailing Telephone | 7607701632 |
| Mailing Fax Number | 7603462471 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | DR. SURENDER VUTHOORI (PRESIDENT) |
| Authorized Official Telephone | 7607701632 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SURENDER VUTHOORI MD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A33804 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUESHIELD | 00A338040 | 01 |
| CA | MED FL MEDI CAL FLORIDA | 913622300 | 01 |
| CA | MEDICARE ID TYPE | ZZZ91620Z | 01 |
| CA | ACSTA ACS DEPARTMENT OF LABOUR | 199003100 | 01 |
| CA | 00A338041 | 05 | |
| CA | US LAB USDEPARTMENT OF LABOUR | 199003100 | 01 |
| CA | MEDICARE RAIL ROAD | 756061629 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626503 | Surender Vuthoori Md Inc | Internal Medicine | 63532 29 Palms Hwy, #a, Joshua Tree, CA 92252 | 2006-08-17 |
| Street Address |
35280 BOB HOPE DR STE 100 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740211838 | Phillip De Evans Bretz | Specialist | 35280 Bob Hope Dr, Suite 103, Rancho Mirage, CA 92270-1753 | 2006-07-06 |
| 1275678583 | Rim Marcinkus | Medical Genetics, Ph.D. Medical Genetics | 35280 Bob Hope Dr, Ste.105, Rancho Mirage, CA 92270-1753 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397182 | William A Stellar | Internal Medicine | 69730 Highway 111, Ste 116, Rancho Mirage, CA 92270-2869 | 2005-12-20 |
| 1174507040 | Abdallah Victor Kubbeh | Internal Medicine | 388 Loch Lomond Rd, Rancho Mirage, CA 92270-5606 | 2005-12-02 |
| 1235565920 | Ali Naderi Mahabadi | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2013-09-25 |
| 1134462039 | Sandy Park | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2013-03-29 |
| 1174840680 | Chanaka Dinesha Wickramasinghe | Internal Medicine | 39000 Bob Hope Drive, Hal B. Wallis Bldg, Rancho Mirage, CA 92270-3221 | 2010-04-23 |
| 1922120997 | Ryszard Skulski Md A Medical Corporation | Internal Medicine | 39000 Bob Hope Dr, Suite K-302, Rancho Mirage, CA 92270-3221 | 2007-04-03 |
| 1972666063 | Terri C. Coble, M.d., Inc. | Internal Medicine | 35900 Bob Hope Dr, Suite 230, Rancho Mirage, CA 92270-1766 | 2006-12-19 |
| 1508964024 | Advanced Vein Therapeutics | Internal Medicine | 39000 Bob Hope Dr, K108, Rancho Mirage, CA 92270 | 2006-09-20 |
| 1407885403 | Andrew Dylan Frutkin | Internal Medicine | 39000 Bob Hope Dr, Hal B. Wallis Bldg., Rancho Mirage, CA 92270-3221 | 2006-07-02 |
| 1952358988 | Desert Cardiology Consultants Medical Group | Internal Medicine | 39000 Bob Hope Dr, Hal B Wallis Bldg, Rancho Mirage, CA 92270-3221 | 2006-05-27 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| 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.