Dr Nisha K Surenderanath, MD | |
605 Emancipation Hwy, Fredericksburg, VA 22401-8403 | |
(540) 310-0117 | |
(540) 310-4736 |
Full Name | Dr Nisha K Surenderanath |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 605 Emancipation Hwy, Fredericksburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003992686 | NPI | - | NPPES |
3000900 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 42283 (Tennessee) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 0101272856 (Virginia) | Primary |
Entity Name | Uva Community Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023483567 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
Mailing Address | Practice Location Address |
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Dr Nisha K Surenderanath, MD 605 Emancipation Hwy Ste 101, Fredericksburg, VA 22401-8403 Ph: (423) 463-4713 | Dr Nisha K Surenderanath, MD 605 Emancipation Hwy, Fredericksburg, VA 22401-8403 Ph: (540) 310-0117 |
Dr. Christina Josephine Tambasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-498-4702 | |
Dr. Verne Elise Rochford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4604 Spotsylvania Pkwy Ste 200, Fredericksburg, VA 22408 Phone: 540-423-6000 Fax: 540-423-6655 | |
Dr. Catherine Nana Abban, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Hospital Dr, Fredericksburg, VA 22401 Phone: 540-368-3700 | |
Bernadette Wells, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4107 Lafayette Blvd, Suite 2, Fredericksburg, VA 22408 Phone: 540-891-0246 Fax: 540-891-0584 | |
Dr. Sharon Young Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10600 Spotsylvania Ave, Fredericksburg, VA 22408 Phone: 804-380-3842 | |
Dr. Blair Mcclintock Ryland Lethbridge, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2632 Salem Church Rd, Fredericksburg, VA 22407 Phone: 540-899-3440 Fax: 540-899-3434 |