Individual
HARSHA VARDHAN SURATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MS
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1676
(607) 737-7770
(607) 271-3686
Mailing address
600 IVY ST STE 206, ELMIRA, NY 14905-1627
(607) 271-2050
(607) 271-2071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
332400
NY
208M00000X
Hospitalist Physician
Primary
332400
NY
Other
Enumeration date
04/05/2021
Last updated
09/18/2024
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