Dr Ramakumar Suryadevara
Dentist in N Syracuse, NY. Organization (NPI-2).
NPI number1174615744
StatusActive
Last updated in NPPESFeb 5, 2013
Details
- NPI
- 1174615744
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Ramakumar Suryadevara
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Last updated
- Feb 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 34914 | NY | Yes |
Practice location
501 S Main StN Syracuse, NY 13212
Phone 315-452-1020 · Fax 315-410-1069
Mailing address
501 S Main StN Syracuse, NY 13212
Phone 315-452-1020 · Fax 315-410-1069
Authorized official
Ramakumar Suryadevara
DDS
3154521020
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