Sureddi, Koteswar Rao
Sureddi, Koteswar Rao is an individual health care provider with primary practice located at 1400 Bryan Dr Suite 300, Durant OK 74702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sureddi, Koteswar Rao can be contacted via phone (580) 924-1700.Contact Information
Primary practice address
1400 Bryan Dr Suite 300
Durant OK 74702
Phone: (580) 924-1700
Fax: (580) 924-1736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11978 | Oklahoma |
Profile Details
| NPI number | 1780621052 |
|---|---|
| LBN Legal business name | Sureddi, Koteswar Rao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 7th, 2012 - about 13 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 | 1780621052 | NPPES |
| Oklahoma | MEDICAID | 100014110A |
Popular Providers
-
Kehrberg, Lisa
1610 W University Blvd , Durant OK 74701-3045 -
Gerard, Terry R
1400 Bryan Dr Ste 201 , Durant OK 74701-2157 -
Harrison, William J
1610 W University Blvd , Durant OK 74701-3045 -
Engles, Phyllis Pyrum
1802 Radio Rd , Durant OK 74701-2006 -
Dudley, Julie H
1600 W University Blvd , Durant OK 74701-3045 -
Khoury, Stephen C
1600 W University Blvd , Durant OK 74701-3094 -
Dillow, David W
1600 W University Blvd , Durant OK 74701-3094 -
Lee, Brian Spencer
1708 Delivery Lane , Durant OK 74701-2292