Individual
DR. SALEELA SURESH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 821-4450
Mailing address
PO BOX 3024, BUFFALO, NY 14240-3024
(716) 773-5892
(716) 773-5892
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1395521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010175501
UNIVERA
NY
01
—
000507920001
BLUES
NY
01
—
050127000043
FIDELIS
NY
01
—
10175501
UNIVERA BEECH
NY
01
—
3001287
IHA
NY
Enumeration date
06/22/2006
Last updated
07/08/2007
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