Individual
AMAR C SURYADEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-7279
(315) 464-7282
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-7279
(315) 464-7282
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD60003283
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
251462-1
NY
Other
Enumeration date
05/23/2008
Last updated
08/10/2009
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