MEDICARE: DR. SURENDHER LOKAREDDY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	195056	NY
2	207V00000X	Obstetrics & Gynecology Physician	MD048704L	PA
3	207V00000X	Obstetrics & Gynecology Physician	22345	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437140332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SURENDHER LOKAREDDY M.D.

Provider Business Mailing Address
First Line	:	2400 S AVENUE A
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-7127
Country	:	US
Telephone Number	:	928-344-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1945 W 24TH ST
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-6105
Country	:	US
Telephone Number	:	928-341-4650
Fax Number	:	928-341-9779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	06/03/2025

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Directions to “ DR. SURENDHER LOKAREDDY M.D.” Practice Location

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