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Organization

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

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUHAS V. PRADHAN M.D. (OWNER)
(315) 475-8409
Entity
Organization

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00458659
NY
Enumeration date
08/12/2010
Last updated
08/12/2010
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