Vineet Suryadevara, MD
Student in an Organized Health Care Education/Training Program in Danville, PA. Individual provider (NPI-1).
NPI number1003519554
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1003519554
- Entity type
- Individual (NPI-1)
- Name
- Vineet Suryadevara
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2023
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
100 N Academy AveDanville, PA 17822-9800
Phone 570-214-5349
Mailing address
100 N Academy AveDanville, PA 17822-9800
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