Individual
DR. VASISHTA SURYA TATAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 1ST AVE, SC1-081, NEW YORK, NY 10016-6401
(347) 404-2555
Mailing address
1770 GRAND CONCOURSE, APARTMENT 4E, BRONX, NY 10457-5524
(347) 404-2555
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
279068
NY
Other
Enumeration date
09/26/2009
Last updated
06/13/2022
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