Individual
DR. SURENDRA KUMAR NEVATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 BROAD ST, GLENS FALLS, NY 12801-4383
(518) 793-9055
Mailing address
92 BROAD ST, GLENS FALLS, NY 12801-4383
(518) 793-9055
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
152775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00889510
—
NY
Enumeration date
03/27/2006
Last updated
11/23/2015
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