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Individual

SURIANARAYANAN RAMMOHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 834-1193
(716) 834-1382
Mailing address
2949 ELMWOOD AVE, SUITE 201, KENMORE, NY 14217-1356
(716) 877-0053
(716) 877-1767

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
002732
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027895501
UNIVERA HEALTHCARE
NY
01
000528993001
BLUE CROSS WNY
NY
05
02848497
NY
01
1714163
INDEPENDENT HEALTH
NY
Enumeration date
01/04/2007
Last updated
01/09/2009
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