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Individual

HINA G SURYADEVARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18070
TN
367500000X
Certified Registered Nurse Anesthetist
3007391
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100198490
KY
Enumeration date
02/27/2012
Last updated
12/03/2013
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