Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surendranath Mantena, MD

Individual provider Internal Medicine Physician · NPI 1629172184

Surendranath Mantena, MD is an Internal Medicine in Bridgeport, Connecticut. Qualified in 1993, 33 years ago. Practices with Sinai Hospital of Baltimore, Inc, a 372-clinician group and works from 2 locations. Licensed in Connecticut and Indiana.

Years since qualifying
33
Licensed in
CT, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2870
Phone: (203) 688-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1002 Wishard Blvd, Indianapolis, IN 46202-2872 — (317) 692-2323

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 79241 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01062267A (IN)

Record details

NPI number1629172184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2006
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Sinai Hospital Of Baltimore, Inc — 372 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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