Doctor Name: | SURENDER VUTHOORI |
NPI Number: | 1437297298 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A33804 |
Business Practice Address: | 63532 29 Palms Hwy Ste A Joshua Tree, CA - 92252 |
Business Phone Number: | 7603668491 |
Business Fax Number: | 7603462471 |
Mailing Address: | Po Box 168, 6353229 Palms Hwy Ste A JOSHUA TREE |
State: | CA |
Postal Code: | 92252 |
Phone Number: | 7603668491 |
Fax Number: | 7603462471 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | A33804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | 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. |