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DR. PAVAN SURTI PHARM.D.
NPI 1366026106
Clinic/Center in Woodridge, IL

Active since May 07, 2021
6742 LAKEVIEW CT, WOODRIDGE, IL 60517(630) 386-6612 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pavan Surti Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAVAN SURTI PHARM.D. (NPI 1366026106) is an individual clinic/center provider in Woodridge, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1366026106
Entity TypeIndividualMale
Primary Taxonomy261Q00000X
Provider Legal NameDR. PAVAN SURTICredential: PHARM.D.
Location Address6742 LAKEVIEW CTWoodridge, IL 60517-1437
Mailing Address6742 Lakeview CtWoodridge, IL 60517-1437 · (630) 386-6612
Phone(630) 386-6612
Sole ProprietorYes
Enumeration DateMay 7, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1366026106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6742 LAKEVIEW CT, Woodridge, IL 60517
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWIND MEDICAL CENTER, LLC
Clinic/Center
6742 LAKEVIEW CT
WOODRIDGE, IL 60517
Dupage County (630) 386-6612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavan Surti's NPI number?

The NPI number for Pavan Surti is 1366026106. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Pavan Surti located?

Pavan Surti practices at 6742 Lakeview Ct, Woodridge, IL 60517. The listed phone number is (630) 386-6612.

What is Pavan Surti's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pavan Surti was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.