Individual provider · Type 1 NPI

Sai Revanth Aashray Surapaneni, MD

Student in an Organized Health Care Education/Training Program · Victorville, CA

NPI number 1306789003 Active

Practice location

16850 Bear Valley Rd.
Victorville, CA 92395

Call (760) 241-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306789003

Sai Revanth Aashray Surapaneni, MD's National Provider Identifier is 1306789003, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victorville, CA. The record was last updated on Apr 9, 2026.