Deepan Selvadurai, MD
Ophthalmology in Orchard Park, NY. Individual provider (NPI-1).
NPI number1790795433
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1790795433
- Entity type
- Individual (NPI-1)
- Name
- Deepan Selvadurai
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2006
- Certification date
- Feb 23, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 258143 | NY | Yes |
Practice location
3055 Southwestern Blvd Ste 108Orchard Park, NY 14127-1231
Phone 716-671-9020
Mailing address
405 International DrWilliamsville, NY 14221-5725
Phone 716-633-7386 · Fax 716-204-3166
Other practice locations
6333 Main St
Williamsville, NY 14221-5800
Williamsville, NY 14221-5800
Phone 716-632-3545 · Fax 716-632-6368
405 International Dr
Williamsville, NY 14221-5725
Williamsville, NY 14221-5725
Phone 716-633-7386 · Fax 716-204-3166
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