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DR. KOTESWAR RAO SUREDDI M.D.
NPI 1780621052
Family Medicine in Durant, OK

Active since June 02, 2006
1400 BRYAN DR, SUITE 300, DURANT, OK 74702(580) 924-1700(580) 924-1736 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Koteswar Rao Sureddi M.d. NPPES

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

DR. KOTESWAR RAO SUREDDI M.D. (NPI 1780621052) is an individual family medicine provider in Durant, Oklahoma, licensed in Oklahoma (11978) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1780621052
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KOTESWAR RAO SUREDDICredential: M.D.
Location Address1400 BRYAN DR, SUITE 300Durant, OK 74702
Mailing Address1400 Bryan Dr, Suite 300Durant, OK 74702 · (580) 924-1700 · Fax (580) 924-1736
Phone(580) 924-1700
Fax(580) 924-1736
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 7, 2012
✔ NPI 1780621052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 11978
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 BRYAN DR, Durant, OK 74702
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Other Identifiers 2

Medicare PIN1780621052OK
Medicaid100014110AOK

Other Providers at the Same Location NPPES 2

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

MRS. JOHNETTE L ROUTH A.R.N.P.
Nurse Practitioner
1400 BRYAN DR, #300
DURANT, OK 74702
Bryan County (580) 924-1700
DR. SEETHA DEVI SUREDDI M.D.
Obstetrics & Gynecology
1400 BRYAN DR, SUITE 300
DURANT, OK 74702
Bryan County (580) 924-1700

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 Koteswar Sureddi's NPI number?

The NPI number for Koteswar Sureddi is 1780621052. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Koteswar Sureddi located?

Koteswar Sureddi practices at 1400 Bryan Dr Suite 300, Durant, OK 74702. The listed phone number is (580) 924-1700.

What is Koteswar Sureddi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Koteswar Sureddi was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.