# SUHAS V. PRADHAN, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104131366
- **Authorized official:** DR. SUHAS V. PRADHAN M.D. (OWNER)
- **Authorized official phone:** (315) 475-8409

## Contact information

- **Practice address:** 725 IRVING AVE STE 514, SYRACUSE, NY 13210-1683
- **Practice address phone:** (315) 475-8409
- **Practice address fax:** (315) 475-6026
- **Mailing address:** 725 IRVING AVE STE 514, SYRACUSE, NY 13210-1683
- **Mailing address phone:** (315) 475-8409
- **Mailing address fax:** (315) 475-6026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 133288 | NY | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00458659 | — | NY |