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Individual
MR. SURESH V. UNDAVIA
Active
Individual
MR. SURESH V. UNDAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
122304
NY
207L00000X
Anesthesiology Physician
NY122304
NY
2084F0202X
Forensic Psychiatry Physician
122304
NY
2084N0400X
Neurology Physician
122304
NY
2084P0800X
Psychiatry Physician
Primary
122304
NY
2084P0802X
Addiction Psychiatry Physician
122304
NY
2084P0805X
Geriatric Psychiatry Physician
122304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OO577399
—
NY
Enumeration date
11/27/2005
Last updated
03/11/2014
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