Individual
DR. SURYA NARAYANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
149594-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD045255L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012616100001
—
PA
05
—
01274717
—
NY
01
—
220029213
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039827
PA MEDICARE GROUP
PA
01
—
P00212674
RR MEDICARE
NY
Enumeration date
02/03/2006
Last updated
09/15/2011
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