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

Individual provider Diagnostic Radiology Physician · NPI 1104033950

Surya Vaidyanathan, MD is a Diagnostic Radiology in Boca Raton, Florida. Qualified in 2003, 23 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2007
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

800 Meadows Rd Ste 1C
Boca Raton, FL 33486-2304
Phone: (561) 447-9341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 110493 (FL)

Record details

NPI number1104033950
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESSeptember 24, 2013
Mailing address951 Nw 13th St, Suite 1c, Boca Raton, FL 33486-2359

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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