Individual
DR. JOHN MATHEW ULAHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 IRVING AVE STE 500, SYRACUSE, NY 13210-1664
(315) 470-7409
(315) 475-2357
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
(315) 475-2357
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
290040-1
NY
Other
Enumeration date
09/06/2008
Last updated
03/12/2021
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