SURJITH VATTOTH (NPI# 1730389016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730389016 |
| Entity Type | Individual |
| Full Name | SURJITH VATTOTH |
| Credential | MD |
| Practice Address |
4301 W Markham St # 556 Little Rock AR 72205-7101 |
| Mailing Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5015265941 |
| Practice Fax Number | 5015266436 |
| Mailing Telephone | 5016868000 |
| Mailing Fax Number | 5015265148 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
E-12127 | AR | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
L2849 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
4301 W MARKHAM ST # 556 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043247547 | Philip Kenney | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2006-06-28 |
| 1578189882 | Jameson Attaway Gilstrap | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-06-23 |
| 1730718545 | Jordan Lee Wells | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-04-03 |
| 1528696655 | Khaled Dostzada | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-04-01 |
| 1558999102 | Sanaz Ameli | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-30 |
| 1992332944 | Haider Rustem | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-26 |
| 1932736386 | Ross Holston | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-25 |
| 1285261941 | Anas Sayed Suliman Atassi | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2020-03-24 |
| 1114587623 | Rangarajan Purushothaman | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2019-06-17 |
| 1205399235 | Jeffrey Michael Lynch | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931226 | Satya Narayana Patro | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-10-29 |
| 1245718576 | Sateesh Jayappa | Radiology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-07-30 |
| 1871866103 | Ranjit Kapil | Radiology | 4300 W 7th St, Little Rock, AR 72205-5446 | 2012-02-16 |
| 1487942413 | Mudassar Kamran | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7199 | 2011-07-12 |
| 1689965279 | Jennifer Lynn Mccarty | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2011-04-29 |
| 1851482723 | Muhammad Yousaf | Radiology | 4301 W Markham St, 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1306937271 | Eren Erdem | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1598856460 | Rudy Van Hemert | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184951220 | Mehmet S. Akdol | Radiology | 3 East Appleby Rd Ste 402, Fayetteville, AR 72703 | 2009-11-11 |
| 1265409585 | Donald S. Willig | Radiology | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2006-03-06 |
| 1295717353 | F. Allan Midyett | Radiology | 4678 Clear Creek Blvd, Fayetteville, AR 72704-9329 | 2005-11-15 |
| 1427373067 | William Reyenga | Radiology | 3633 Central Ave, Ste D, Hot Springs, AR 71913-6404 | 2010-04-06 |
| 1962450007 | Sparks Medical Foundation | Radiology | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2006-05-04 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.