Individual
DR. NARENDER ROY SARABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-9788
Mailing address
2405 GENESEE ST, UTICA, NY 13501-6214
(315) 798-9788
(315) 798-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1630121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040134602
UNIVERA
—
01
—
00931237
MEDICAID
—
05
—
00958127
—
NY
01
—
050028127
PALMETTO
NY
01
—
10066014
CDPHP
NY
01
—
1131631
CAQH
—
01
—
1874076
UHC
NY
01
—
207045400
US DEPT LABOR
NY
01
—
361180
MUP
NY
01
—
40426014384
FIDELIS
—
01
—
54602A
MEDICARE
—
Enumeration date
10/21/2005
Last updated
10/26/2010
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