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Individual
DR. SHARAVANAN THEVANAYAGAM
Active
Individual
DR. SHARAVANAN THEVANAYAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290602-1
NY
208M00000X
Hospitalist Physician
290602-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2014
Last updated
12/14/2021
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